go back

North Carolina rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.98 / $159.53 / $1,245.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.12 / $99.92 / $275.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.53 / $123.40 / $166.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.39 / $197.70 / $363.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.92 / $150.66 / $254.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $141.00 / $334.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.25 / $2,613.82 / $2,613.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.49 / $915.00 / $915.00