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Arizona rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Facilitymedian $174 · 10th–90th $89$2190%20%10th90th$174Professionalmedian $115 · 10th–90th $45$2750%5%10th90th$115$10.0$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
$89.13 / $173.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $169.82 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $54.95 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $104.71 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $186.21 / $302.00
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $56.23 / $89.13
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $131.83 / $208.93
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.96 / $51.29 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $190.55 / $363.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $52.48 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $123.03 / $239.88
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$323.59 / $426.58 / $426.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $50.12 / $288.40
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $131.83 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $169.82 / $275.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $48.98 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $114.82 / $194.98