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Michigan rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Facilitymedian $59 · 10th–90th $58$590%50%10th$59Professionalmedian $115 · 10th–90th $48$2570%5%10th90th$115$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$57.54 / $58.88 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $162.18 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $57.54 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $104.71 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $37.15 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $199.53 / $213.80
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $95.50
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $204.17 / $363.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $58.88 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $134.90 / $257.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$40.74 / $58.88 / $109.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $173.78 / $346.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $58.88 / $123.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $117.49 / $229.09
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $186.21 / $309.03
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $54.95 / $85.11
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $100.00 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $173.78 / $281.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $56.23 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $117.49 / $199.53