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Tennessee rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.72 / $223.87 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $54.95 / $114.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $117.49 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $45.71 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $158.49 / $323.59
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $74.13 / $117.49
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $158.49 / $245.47
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.86 / $47.86 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $354.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $63.10 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $138.04 / $239.88
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$407.38 / $407.38 / $407.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,096.48 / $1,096.48
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$288.40 / $363.08 / $363.08
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$794.33 / $794.33 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $281.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $54.95 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $125.89 / $194.98