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North Dakota rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.03 / $76.03 / $188.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.53 / $106.97 / $134.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.40 / $123.40 / $123.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.12 / $258.83 / $450.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.84 / $163.35 / $192.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.49 / $661.49 / $661.49