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Colorado 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
$27.83 / $35.77 / $43.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.77 / $79.34 / $101.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.37 / $27.84 / $89.61
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.41 / $30.51 / $84.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.56 / $54.84 / $69.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.53 / $84.80 / $128.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.82 / $38.90 / $55.57
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.45 / $45.20 / $69.52
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.97 / $30.97 / $30.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.75 / $86.32 / $172.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.39 / $31.00 / $61.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.82 / $55.82 / $110.44
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.50 / $107.50 / $112.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.64 / $89.49 / $127.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.14 / $40.83 / $58.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.50 / $48.66 / $69.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.81 / $116.70 / $201.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.77 / $43.14 / $63.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.78 / $76.26 / $125.40