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Arizona rates for HCPCS 0689T

Quantitative ultrasound tissue characterization (non-elastographic), including interpretation and report, obtained without diagnostic ultrasound examination of the same anatomy (eg, organ, gland, tissue, target structure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.15 / $161.57 / $269.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.26 / $91.01 / $113.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.46 / $215.71 / $266.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.74 / $3,000.00 / $4,410.00