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Wisconsin 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 $83 · 10th–90th $72$1700%50%10th90th$83Professionalmedian $87 · 10th–90th $37$3090%5%10%10th90th$87$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
$72.44 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $123.03 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $52.48 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $51.29 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $114.82 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $57.54 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $57.54 / $177.83
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $50.12 / $100.00
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $114.82 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $213.80 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $97.72 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $114.82 / $162.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $173.78 / $239.88
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $83.18 / $104.71
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $87.10 / $125.89
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $169.82 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $85.11 / $239.88
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $75.86 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $114.82
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $154.88 / $302.00
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $89.13 / $141.25
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $77.62 / $151.36
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $199.53 / $316.23
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $239.88 / $239.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $575.44 / $1,000.00
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $194.98 / $239.88
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $446.68 / $776.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $489.78 / $524.81
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $112.20 / $229.09
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $66.07 / $190.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $309.03 / $549.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $151.36 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $114.82 / $257.04