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New York rates for HCPCS 76380

Ct Limited/Localized Follow Up Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.56 / $57.55 / $122.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.09 / $152.13 / $275.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.14 / $50.19 / $96.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.46 / $96.28 / $175.32
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.09 / $64.09 / $66.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.24 / $115.35 / $338.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.31 / $49.90 / $107.58
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.92 / $63.96 / $227.45
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.15 / $110.67 / $176.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.84 / $51.84 / $51.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $236.48 / $591.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.36 / $64.04 / $142.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.81 / $179.48 / $422.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.76 / $183.99 / $281.60
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.40 / $58.17 / $93.28
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.17 / $122.21 / $189.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.86 / $150.26 / $277.95
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.99 / $64.87 / $94.48
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.81 / $118.27 / $183.47
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.76 / $88.99 / $110.17
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.84 / $51.84 / $51.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $209.92 / $453.74
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.77 / $62.58 / $140.88
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.39 / $139.76 / $353.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.30 / $171.57 / $377.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.61 / $49.53 / $111.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.65 / $115.83 / $249.08
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.71 / $52.71 / $157.13
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.22 / $202.03 / $352.17
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.99 / $69.36 / $123.78
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.49 / $132.66 / $228.42