go back

West Virginia rates for HCPCS 77011

Computed tomography guidance for stereotactic localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.10 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $245.47 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $61.66 / $104.71
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $177.83 / $316.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.79 / $69.18 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $602.56 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $154.88 / $288.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $416.87 / $1,995.26
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $95.50 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $363.08 / $724.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $57.54 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $302.00 / $660.69