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Indiana rates for HCPCS 76536

Us Soft Tissue Head & Neck Real Time Imge Docm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.80 / $394.63 / $890.97
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.05 / $30.07 / $52.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.80 / $119.81 / $213.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.07 / $26.46 / $57.64
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$47.10 / $51.10 / $63.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.76 / $80.30 / $143.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $78.81 / $147.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.82 / $21.72 / $37.28
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.10 / $64.43 / $110.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.60 / $350.00 / $420.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.88 / $108.60 / $157.04
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.13 / $42.48 / $58.62
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.50 / $66.11 / $101.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.34 / $88.42 / $133.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $84.73 / $123.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.40 / $350.00 / $350.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.47 / $30.47 / $30.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.40 / $125.89 / $231.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.39 / $35.86 / $57.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.27 / $89.99 / $172.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.07 / $137.86 / $235.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.34 / $116.87 / $188.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.44 / $28.90 / $50.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.80 / $87.32 / $142.62