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Wyoming 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
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $83.18 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $38.90 / $91.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $50.12 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $316.23 / $316.23
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $147.91 / $147.91
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $125.89 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $64.57 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.48 / $64.57 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $144.54 / $288.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $70.79 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $64.57 / $169.82