go back

Rhode Island rates for HCPCS 77011

Ct Guidance Stereotactic Localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$386.63 / $386.63 / $537.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $494.68 / $531.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.83 / $62.28 / $65.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $438.51 / $466.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.81 / $317.20 / $445.02
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.43 / $87.75 / $115.67
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.60 / $227.05 / $229.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.45 / $476.04 / $642.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.66 / $125.66 / $167.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$197.79 / $346.67 / $475.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $395.87 / $514.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.07 / $80.69 / $130.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.79 / $247.14 / $383.90