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Florida rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.11 / $61.92 / $159.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.40 / $168.69 / $267.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.90 / $51.30 / $79.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.76 / $106.34 / $165.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.94 / $123.94 / $278.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.79 / $66.69 / $75.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.84 / $51.84 / $142.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.22 / $190.00 / $329.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.22 / $52.29 / $99.46
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.64 / $124.79 / $241.79
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.14 / $52.14 / $52.14
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.45 / $165.79 / $214.54
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.50 / $53.03 / $68.44
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.95 / $109.92 / $143.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.17 / $110.28 / $190.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $147.13 / $279.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.71 / $41.53 / $90.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.88 / $102.81 / $194.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $71.75 / $71.75
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.92 / $23.92 / $23.92
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.84 / $47.84 / $47.84