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Texas rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $851.14 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $112.20 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $223.87 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $169.82 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $128.82 / $323.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,630.27 / $2,630.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $912.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $134.90 / $478.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $125.89 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $138.04 / $302.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $123.03 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $138.04 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $112.20