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Georgia rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $851.14 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $199.53 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $263.03 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $181.97 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $141.25 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $218.78 / $218.78