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Texas 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 $38 · 10th–90th $35$2400%20%40%10th90th$38Professionalmedian $62 · 10th–90th $32$1910%5%10th90th$62$10.0$20.0$50.0$100.0$200.0$500.0$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
$34.67 / $38.02 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $93.33 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $43.65 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $44.67 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $77.62 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $38.02 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $61.66 / $87.10
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $100.00 / $144.54
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.12 / $42.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $91.20 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $43.65 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $47.86 / $144.54
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $1,071.52
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $302.00 / $302.00
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $549.54 / $831.76
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $38.02 / $50.12
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $316.23
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $48.98 / $97.72
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $53.70 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.11 / $63.10
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $91.20 / $229.09
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.33 / $43.65 / $63.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $91.20 / $208.93
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $40.74 / $72.44
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $44.67 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $87.10 / $177.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $40.74 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $41.69 / $91.20
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $95.50
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $38.02 / $45.71
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $41.69 / $48.98