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West Virginia rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Facilitymedian $47 · 10th–90th $15–$740%50%10th90th$47Professionalmedian $105 · 10th–90th $45–$2340%5%10%10th90th$105$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $151.36 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $48.98 / $83.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $104.71 / $218.78
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
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
$109.65 / $245.47 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $64.57 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $173.78 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $190.55 / $338.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $53.70 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $134.90 / $251.19