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Massachusetts rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.75 / $67.75 / $1,243.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.75 / $91.12 / $135.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.99 / $232.58 / $2,613.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.99 / $661.49 / $661.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.95 / $172.40 / $312.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.48 / $529.23 / $776.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.97 / $172.27 / $374.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.08 / $121.71 / $177.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.56 / $164.47 / $215.04
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.36 / $762.36 / $762.36
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.58 / $2,613.82 / $2,613.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.49 / $661.49 / $661.49