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New Mexico 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

Facilitymedian $62 · 10th–90th $52$680%20%10th90th$62Professionalmedian $59 · 10th–90th $32$1580%5%10%10th90th$59$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $61.66 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $89.13 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $41.69 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $44.67 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $57.54 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $117.49 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $50.12 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $64.57 / $97.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $87.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $125.89 / $186.21
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $51.29 / $72.44
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $61.66 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $97.72 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $40.74 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $60.26 / $102.33