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Texas rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Facilitymedian $51 · 10th–90th $39$2880%20%10th90th$51Professionalmedian $105 · 10th–90th $44$2400%5%10th90th$105$10.0$20.0$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
$38.90 / $45.71 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $151.36 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $51.29 / $87.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $95.50 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $102.33 / $141.25
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $144.54 / $208.93
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $45.71
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.96 / $51.29 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $194.98 / $323.59
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $53.70 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $123.03 / $239.88
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$288.40 / $363.08 / $363.08
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $794.33 / $812.83
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.90 / $47.86 / $66.07
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $173.78 / $363.08
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $54.95 / $102.33
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $109.65 / $218.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $107.15
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $338.84 / $389.05
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.48 / $53.70 / $75.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $199.53 / $338.84
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $47.86 / $89.13
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $120.23 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $169.82 / $295.12
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 / $117.49 / $204.17
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $131.83 / $158.49
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $45.71 / $54.95
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $87.10 / $104.71