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New York rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.18 / $130.46 / $1,222.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.70 / $99.92 / $171.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.67 / $1,190.80 / $1,488.50
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.20 / $31.20 / $110.67
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $110.67 / $155.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.40 / $232.80 / $339.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.69 / $203.26 / $488.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.84 / $156.40 / $346.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $55,249.45 / $71,499.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.40 / $254.50 / $470.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $136.22 / $362.72