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Alabama rates for HCPCS 76604

Ultrasound, chest (includes mediastinum), real time with image documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.30 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $83.18 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $45.71 / $77.62
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$57.54 / $66.07 / $114.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $39.81 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $45.71 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $25.12 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $125.89 / $147.91
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $61.66 / $67.61
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $63.10 / $69.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $93.33 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $33.11 / $70.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $60.26 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $74.13 / $114.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $26.92 / $39.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $47.86 / $77.62