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Arkansas rates for HCPCS 77011

Computed tomography guidance for stereotactic localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.86 / $89.13 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $263.03 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $61.66 / $93.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $186.21 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $251.19 / $323.59
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $74.13 / $95.50
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $177.83 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $380.19 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $85.11 / $128.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $269.15 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $371.54 / $616.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $67.61 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $257.04 / $537.03