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Texas 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
$224.00 / $224.00 / $224.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.67 / $62.67 / $62.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.60 / $321.63 / $391.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.83 / $92.99 / $250.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.08 / $105.90 / $358.61