go back

Arkansas rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.90 / $541.00 / $1,002.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.40 / $111.90 / $179.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.62 / $76.62 / $83.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.21 / $161.54 / $750.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.12 / $149.65 / $212.22