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Arkansas rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $851.14 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $112.20 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $162.18 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $151.36 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $138.04 / $257.04