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Illinois rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $1,096.48 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $125.89 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $147.91 / $223.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $229.09