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Delaware 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
$26.53 / $35.46 / $68.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.75 / $79.34 / $213.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.46 / $26.53 / $69.16
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.85 / $28.38 / $44.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.59 / $55.88 / $69.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.80 / $88.19 / $118.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.22 / $27.95 / $49.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.87 / $56.30 / $81.51
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.16 / $17.22 / $249.74
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$58.18 / $58.18 / $58.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.48 / $88.77 / $180.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.21 / $30.81 / $64.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.78 / $56.98 / $112.37