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Rhode Island rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$292.50 / $292.50 / $406.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.38 / $162.22 / $176.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.20 / $46.88 / $62.57
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.18 / $117.54 / $127.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.72 / $192.78 / $331.53
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.95 / $64.20 / $91.37
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.99 / $128.56 / $128.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.86 / $276.27 / $299.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.60 / $91.02 / $97.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.08 / $185.25 / $207.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.30 / $186.58 / $297.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.67 / $55.94 / $95.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.44 / $131.83 / $187.38