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Massachusetts rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.20 / $62.88 / $135.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.38 / $145.97 / $193.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.20 / $46.88 / $79.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.18 / $93.15 / $136.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.66 / $327.27 / $411.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.13 / $231.22 / $1,055.73
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.94 / $69.22 / $287.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.63 / $176.22 / $803.30
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.72 / $85.22 / $113.25
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.11 / $222.27 / $435.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.43 / $243.91 / $443.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.06 / $67.58 / $139.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.68 / $174.86 / $329.11
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.41 / $134.69 / $246.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.02 / $309.25 / $426.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.89 / $108.81 / $143.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.13 / $216.26 / $282.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.28 / $71.04 / $100.51
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$327.27 / $411.36 / $411.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.13 / $235.01 / $1,055.73
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.78 / $72.56 / $287.12
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.89 / $175.92 / $803.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.88 / $202.94 / $360.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.56 / $59.33 / $111.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.44 / $139.16 / $285.75