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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.67 / $38.02 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $95.50 / $331.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $45.71 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $46.77 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $74.13 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $38.02 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $61.66 / $89.13
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $107.15 / $144.54
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.12 / $42.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $93.33 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $44.67 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $47.86 / $141.25
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$239.88 / $239.88 / $239.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,000.00
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$239.88 / $302.00 / $302.00
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$549.54 / $549.54 / $776.25
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.90 / $38.02 / $48.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $107.15 / $323.59
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $51.29 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $56.23 / $165.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $33.11 / $63.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $91.20 / $229.09
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.12 / $42.66 / $61.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $93.33 / $204.17
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $40.74 / $72.44
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $45.71 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $158.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $40.74 / $69.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $41.69 / $83.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $95.50
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $38.02 / $45.71
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $41.69 / $48.98