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Maryland rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Facilitymedian $39 · 10th–90th $39$390%50%$39Professionalmedian $105 · 10th–90th $48$2570%5%10th90th$105$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $57.54 / $123.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $102.33 / $239.88
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $190.55
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $52.48 / $60.26
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $114.82 / $131.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $194.98 / $323.59
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $51.29 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $141.25 / $245.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $158.49 / $208.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $51.29 / $69.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $109.65 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $173.78 / $302.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $52.48 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $117.49 / $213.80
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $151.36 / $213.80
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $48.98 / $69.18
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $102.33 / $144.54