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Ohio 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 $51 · 10th–90th $38$1070%20%10th90th$51Professionalmedian $68 · 10th–90th $36$1700%10%10th90th$68$0.5$2.0$10.0$50.0$200.0$1.0K

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
$38.02 / $51.29 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $97.72 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $44.67 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $48.98 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $60.26 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $46.77 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $128.82 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $54.95 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $75.86 / $125.89
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $112.20 / $151.36
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $54.95 / $72.44
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $57.54 / $77.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $57.54 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $112.20 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $50.12 / $87.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $57.54 / $138.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.12 / $42.66 / $61.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $102.33 / $213.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $50.12 / $81.28
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $54.95 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $97.72 / $173.78
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $47.86 / $85.11
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $50.12 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $89.13 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $44.67 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $41.69 / $117.49