go back

Virginia 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.26 / $334.39 / $436.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.50 / $323.04 / $750.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.08 / $99.00 / $172.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $150.19 / $207.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.51 / $112.46 / $191.75
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.78 / $109.23 / $673.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.87 / $185.87 / $185.87