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Alabama rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.37 / $64.38 / $64.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.97 / $168.69 / $275.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.14 / $55.00 / $70.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.82 / $104.31 / $220.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.79 / $64.31 / $80.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.37 / $74.39 / $159.61
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.72 / $47.56 / $56.12
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.01 / $48.24 / $103.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $209.09 / $385.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.65 / $57.13 / $133.37
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.59 / $121.77 / $257.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.16 / $146.88 / $253.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.08 / $47.55 / $66.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.08 / $99.45 / $193.64