go back

West Virginia rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.48 / $99.48 / $504.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.48 / $105.80 / $123.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.77 / $87.44 / $82,011.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $22.63 / $22.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.40 / $123.40 / $464.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.39 / $133.43 / $509.81