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Oregon rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.19 / $301.08 / $456.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.39 / $115.72 / $371.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.84 / $123.40 / $237.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.70 / $214.60 / $349.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.48 / $256.00 / $296.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $371.00 / $530.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.55 / $115.55 / $115.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.83 / $215.48 / $221.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.27 / $371.00 / $578.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.11 / $239.62 / $365.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.89 / $281.32 / $339.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.51 / $232.48 / $312.68