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Texas rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.56 / $856.00 / $2,029.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.52 / $100.46 / $171.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.78 / $212.29 / $374.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.35 / $62.35 / $62.35
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $850.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.04 / $195.19 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $116.37 / $290.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.25 / $2,613.82 / $2,613.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.49 / $661.49 / $915.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.39 / $122.46 / $275.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.70 / $80.70 / $80.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.39 / $123.28 / $284.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.70 / $116.37 / $288.44