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Georgia 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
$23.99 / $52.48 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $89.13 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $38.90 / $120.23
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$46.77 / $79.43 / $363.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $45.71 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $47.86 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $26.92 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$38.02 / $38.02 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $38.02 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $102.33 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $36.31 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $69.18 / $109.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $35.48 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $107.15 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $38.02 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $67.61 / $114.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $74.13 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $33.88 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$51.29 / $51.29 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $40.74 / $213.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $54.95 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $100.00 / $162.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $34.67 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $64.57 / $102.33