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Arizona rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $870.96 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $173.78 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $169.82 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $131.83 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $144.54 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $81.28 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $109.65