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Connecticut rates for HCPCS 76604

Us Chest Real Time W/Image Documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.06 / $109.72 / $129.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $98.65 / $427.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.46 / $29.06 / $109.95
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$34.25 / $49.33 / $151.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.12 / $63.59 / $116.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.03 / $118.24 / $168.27
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.47 / $40.64 / $49.90
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.52 / $77.09 / $118.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.13 / $116.64 / $191.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.75 / $37.14 / $60.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.60 / $67.75 / $121.93
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.52 / $101.54 / $122.12
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.00 / $29.74 / $40.28
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.40 / $44.01 / $72.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.96 / $48.37 / $228.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.28 / $95.44 / $191.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.75 / $38.10 / $67.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.71 / $58.49 / $114.36