go back

Missouri 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
$104.26 / $104.26 / $104.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.23 / $310.23 / $423.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.21 / $281.58 / $385.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.52 / $98.98 / $164.70