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Arizona rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $811.00 / $1,538.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $123.00 / $171.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.18 / $213.11 / $354.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.65 / $156.18 / $195.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.40 / $222.37 / $306.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.13 / $142.90 / $325.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.46 / $144.53 / $2,489.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.49 / $661.49 / $661.49