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Unlisted X-Ray Imaging Study

Arkansas rates for HCPCS 76499

Covers a diagnostic imaging study using X-rays that has no standard named entry of its own. It is used when the examination performed does not match any of the established named X-ray studies, so the doctor supplies a written description of exactly what was done and why.

Rates data updated July 2026.

Facilitymedian $76 · 10th–90th $68$1620%20%40%10th90th$76$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$89.13
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$177.83
Typical High
$251.19