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Indiana rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.28 / $631.00 / $2,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.88 / $108.28 / $135.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.00 / $929.00 / $2,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.97 / $84.67 / $87.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.81 / $100.66 / $15,318.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.84 / $82.27 / $116.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.75 / $123.40 / $700.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.41 / $136.65 / $203.26