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North Dakota rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $114.82 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $107.15 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $257.04 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $162.18 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $123.03 / $162.18