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New York 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
$37.17 / $47.98 / $101.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $92.40 / $215.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.08 / $43.31 / $101.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.93 / $49.66 / $119.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.76 / $56.76 / $56.76
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.79 / $29.76 / $53.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.72 / $68.92 / $231.87
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.64 / $38.17 / $89.28
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.08 / $30.18 / $109.51
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.73 / $54.85 / $100.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.19 / $43.19 / $43.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.04 / $116.34 / $290.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.65 / $52.84 / $114.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.39 / $68.00 / $191.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $108.99 / $183.45
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.40 / $48.72 / $77.88
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.92 / $55.88 / $90.35
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.88 / $101.00 / $164.84
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.48 / $49.56 / $80.18
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.64 / $53.95 / $84.66
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.19 / $80.27 / $96.94
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.24 / $32.24 / $41.76
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.51 / $98.35 / $103.52
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.86 / $65.51 / $79.79
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.19 / $43.19 / $43.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.65 / $114.43 / $290.89
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.16 / $51.82 / $111.55
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.75 / $51.40 / $158.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.43 / $87.91 / $186.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.35 / $41.02 / $92.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.04 / $42.54 / $125.64
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.00 / $44.00 / $128.47
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.88 / $117.45 / $201.56
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.48 / $56.24 / $100.92
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.31 / $61.22 / $102.03