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Rhode Island rates for HCPCS 77011

Computed tomography guidance for stereotactic localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $338.84 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $64.57 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $245.47 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $467.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $66.07 / $102.33
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $173.78 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $457.09 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $123.03 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $338.84 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $398.11 / $616.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $74.13 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $245.47 / $562.34