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Hawaii rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Facilitymedian $50 · 10th–90th $45$600%20%40%10th90th$50Professionalmedian $117 · 10th–90th $48$2690%5%10th90th$117$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$44.67 / $50.12 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $147.91 / $363.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $51.29 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $97.72 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $190.55 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $57.54 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $138.04 / $194.98
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $239.88 / $257.04
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $61.66 / $64.57
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $177.83 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $173.78 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $53.70 / $67.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $120.23 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $263.03 / $457.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $75.86 / $371.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $194.98 / $346.74
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $218.78 / $309.03
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $67.61 / $102.33
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $151.36 / $218.78