go back

Wyoming rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.09 / $43.09 / $43.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.85 / $149.56 / $182.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.14 / $46.96 / $61.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.20 / $99.05 / $135.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $572.00 / $572.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.00 / $189.00 / $189.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.00 / $383.00 / $383.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.39 / $247.06 / $452.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.70 / $70.53 / $127.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.74 / $142.60 / $272.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $257.95 / $603.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.30 / $86.83 / $149.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.43 / $175.39 / $454.28