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Utah 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 $43 · 10th–90th $43$430%50%100%$43Professionalmedian $68 · 10th–90th $35$2190%5%10%10th90th$68$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $95.50 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $42.66 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $50.12 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $52.48 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $58.88 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $575.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $177.83
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $61.66 / $89.13
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $60.26 / $89.13
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $123.03 / $165.96
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $58.88 / $89.13
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $63.10 / $83.18
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $69.18 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $79.43 / $154.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $34.67 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $41.69 / $87.10