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Ohio rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.83 / $388.00 / $1,613.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.26 / $107.66 / $186.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.00 / $1,073.00 / $2,137.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $71.97 / $87.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.96 / $282.54 / $72,899.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $86.45 / $209.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.68 / $123.40 / $1,300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.39 / $133.43 / $298.64
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.68 / $350.00 / $1,300.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.99 / $128.38 / $256.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.91 / $116.24 / $281.82