go back

Pennsylvania rates for HCPCS 76536

Us Soft Tissue Head & Neck Real Time Imge Docm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.36 / $421.61 / $735.78
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.42 / $30.17 / $53.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.43 / $131.79 / $468.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.45 / $36.96 / $124.36
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$40.94 / $49.97 / $70.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.86 / $94.28 / $289.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $85.85 / $162.22
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.09 / $25.11 / $44.29
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.64 / $81.94 / $122.60
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.63 / $222.19 / $5,993.82
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.59 / $160.16 / $270.83
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.24 / $38.92 / $63.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.65 / $175.50 / $206.95
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.83 / $43.96 / $65.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.81 / $119.44 / $154.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.30 / $185.58 / $342.91
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
$87.97 / $132.13 / $213.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.51 / $33.60 / $54.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.79 / $97.98 / $160.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.25 / $152.69 / $262.12
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.46 / $38.90 / $60.94
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.54 / $126.70 / $201.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.35 / $276.63 / $472.41
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.38 / $134.38 / $160.69
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.63 / $33.85 / $46.23
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$15.40 / $15.40 / $15.40
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.53 / $122.89 / $147.47
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.42 / $212.58 / $516.85
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.39 / $151.96 / $238.47
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.84 / $36.25 / $63.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.36 / $301.13 / $736.06
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.42 / $33.70 / $73.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.44 / $141.53 / $454.48
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.42 / $39.36 / $94.49
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$44.00 / $53.94 / $97.68
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.95 / $99.64 / $257.68
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.49 / $321.87 / $462.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $103.90 / $243.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.46 / $174.85 / $342.91
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.47 / $30.47 / $30.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.97 / $132.07 / $211.13
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $33.60 / $54.15
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.09 / $98.14 / $160.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $107.14 / $107.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.84 / $26.84 / $35.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $107.14 / $116.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.10 / $26.91 / $35.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.00 / $80.30 / $88.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.80 / $123.07 / $206.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.68 / $31.19 / $53.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.81 / $91.88 / $154.11