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Delaware rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.89 / $106.97 / $171.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.77 / $137.77 / $137.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $134.44 / $231.27