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Unlisted X-Ray Imaging Study

Hawaii 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 $200 · 10th–90th $200$2000%50%100%$200Professionalmedian $148 · 10th–90th $148$1660%20%40%90th$148$200.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$165.96