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Arizona rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.66 / $126.03 / $183.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.12 / $162.21 / $233.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.14 / $49.62 / $94.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.36 / $116.25 / $152.69
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.79 / $34.79 / $34.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $149.90 / $187.37
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.14 / $44.74 / $55.92
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.02 / $105.16 / $131.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.84 / $51.84 / $51.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.18 / $201.73 / $313.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.83 / $55.61 / $98.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.43 / $139.76 / $218.21
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$422.56 / $422.56 / $422.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.85 / $172.33 / $1,035.22
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.61 / $46.74 / $287.12
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.82 / $132.71 / $780.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.85 / $172.07 / $280.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.61 / $42.63 / $91.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.82 / $117.79 / $214.82