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New Mexico rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Facilitymedian $76 · 10th–90th $63$830%20%10th90th$76Professionalmedian $102 · 10th–90th $43$2340%5%10th90th$102$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
$63.10 / $75.86 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $147.91 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $52.48 / $95.50
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $97.72 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $91.20 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $218.78 / $323.59
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $61.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $154.88 / $234.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $128.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $251.19 / $354.81
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $61.66 / $89.13
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $154.88 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $323.59
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $48.98 / $109.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $131.83 / $229.09