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Delaware rates for HCPCS 77011

Computed tomography guidance for stereotactic localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.18 / $69.18 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $229.09 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $60.26 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $169.82 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $302.00 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $63.10 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $223.87 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $446.68 / $870.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $63.10 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $263.03 / $758.58