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Maryland rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.63 / $97.63 / $97.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.89 / $105.80 / $261.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.40 / $166.74 / $338.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.88 / $135.52 / $189.99