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Rhode Island rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $114.82 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $186.21 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $194.98 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $218.78 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03