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Hawaii rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.12 / $91.12 / $171.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.40 / $123.40 / $123.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.70 / $157.63 / $509.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.00 / $2,900.00 / $2,900.00