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Iowa rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.59 / $85.46 / $239.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.12 / $148.30 / $275.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.35 / $46.88 / $96.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.15 / $103.82 / $220.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$145.22 / $149.59 / $153.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.28 / $311.06 / $454.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.82 / $102.39 / $142.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.98 / $208.66 / $334.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.87 / $216.13 / $493.69
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.97 / $68.16 / $140.93
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.90 / $140.85 / $351.92
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$327.27 / $422.56 / $422.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.02 / $255.38 / $1,035.22
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.24 / $61.54 / $287.12
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.03 / $138.69 / $780.77
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$149.59 / $153.94 / $250.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.96 / $283.23 / $450.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.60 / $176.60 / $503.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.86 / $176.41 / $306.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.21 / $60.91 / $107.75
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.67 / $114.87 / $201.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.77 / $255.40 / $300.50
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.94 / $86.00 / $101.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.83 / $169.40 / $199.30