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Missouri rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.26 / $173.58 / $1,382.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.88 / $116.53 / $196.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.16 / $103.31 / $194.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.97 / $241.75 / $260.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.12 / $127.24 / $263.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.50 / $179.09 / $349.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.44 / $661.49 / $661.49