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Idaho rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Facilitymedian $120 · 10th–90th $66$1230%50%10th90th$120Professionalmedian $117 · 10th–90th $45$2510%5%10%10th90th$117$50.0$100.0$200.0$500.0

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
$66.07 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $162.18 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $53.70 / $102.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $117.49 / $204.17
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $245.47 / $338.84
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $85.11 / $114.82
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $158.49 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $173.78 / $371.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $46.77 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $95.50 / $199.53
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $489.78
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $239.88 / $363.08
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $208.93 / $208.93
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $120.23 / $123.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $251.19 / $371.54
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $89.13 / $123.03
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $165.96 / $245.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $275.42 / $331.13
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $91.20 / $109.65
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $181.97 / $213.80
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $125.89 / $331.13
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $93.33
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $89.13 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $169.82 / $309.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $48.98 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $114.82 / $204.17