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Vermont 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
Professional
Modifier
Low / Median / High Price
$72.44 / $95.50 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $44.67 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $50.12 / $104.71
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$229.09 / $229.09 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $114.82 / $323.59
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $56.23 / $158.49
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $43.65 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $147.91 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $57.54 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $87.10 / $138.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $323.59
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $39.81 / $158.49
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $44.67 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $275.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $53.70 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $63.10 / $173.78