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Illinois rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $902.00 / $2,071.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.88 / $113.21 / $135.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.55 / $125.93 / $162.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.52 / $111.36 / $370.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.41 / $148.61 / $215.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $345.40 / $345.40
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
$32.34 / $2,500.00 / $2,500.00