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Delaware rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.99 / $58.68 / $119.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.32 / $145.97 / $221.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.14 / $44.68 / $69.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.76 / $103.82 / $152.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.04 / $208.24 / $257.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.83 / $50.17 / $82.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.62 / $146.22 / $187.60
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.34 / $74.34 / $74.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.55 / $221.56 / $326.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.08 / $48.30 / $108.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.95 / $133.32 / $218.88