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Pennsylvania 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.65 / $188.88 / $257.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,090.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.94 / $188.88 / $215.58