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Nebraska rates for HCPCS 76377

3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.11 / $192.90 / $325.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.47 / $83.73 / $400.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.54 / $90.40 / $212.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.36 / $36.97 / $187.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.29 / $174.29 / $174.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.34 / $84.18 / $84.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.06 / $142.94 / $147.97
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.14 / $70.70 / $74.75
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.12 / $72.92 / $75.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$208.62 / $208.62 / $208.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.93 / $160.13 / $230.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.63 / $82.92 / $106.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.29 / $76.97 / $124.11
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$169.56 / $169.56 / $169.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.17 / $149.19 / $1,002.61
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.83 / $75.83 / $238.39
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.09 / $67.81 / $780.59
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.52 / $125.06 / $208.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.43 / $163.63 / $207.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.47 / $67.78 / $135.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.17 / $146.52 / $169.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.83 / $75.11 / $96.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.15 / $67.67 / $77.97