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Indiana 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
Facility
Modifier
Low / Median / High Price
$185.87 / $185.87 / $260.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.59 / $310.23 / $598.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.69 / $310.23 / $436.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,749.56 / $65,624.35 / $89,999.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.12 / $92.24 / $320.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66