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Massachusetts rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $112.20 / $302.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $218.78 / $2,630.27
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $660.69 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $173.78 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $549.54 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $165.96 / $363.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $123.03 / $177.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $223.87
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $218.78 / $2,630.27
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $158.49 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $204.17