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Oklahoma rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Facilitymedian $59 · 10th–90th $48$2880%20%10th90th$59Professionalmedian $115 · 10th–90th $48$2450%5%10%10th90th$115$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
$47.86 / $58.88 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $165.96 / $295.12
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $54.95 / $85.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $117.49 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $131.83 / $186.21
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $47.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $114.82 / $177.83
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$323.59 / $426.58 / $426.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $169.82 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $52.48 / $288.40
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $131.83 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $147.91 / $239.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $48.98 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $97.72 / $169.82