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Illinois rates for HCPCS 76604

Us Chest Real Time W/Image Documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.33 / $41.32 / $46.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.43 / $81.40 / $167.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.46 / $34.32 / $106.43
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.44 / $32.72 / $90.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.59 / $53.25 / $100.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.89 / $43.79 / $58.86
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.78 / $23.13 / $38.72
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$8.76 / $12.06 / $55.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.74 / $37.25 / $37.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $66.65 / $131.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.02 / $87.84 / $149.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.00 / $37.08 / $52.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.97 / $50.54 / $102.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.42 / $97.80 / $384.68
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.34 / $43.94 / $184.93
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.65 / $49.76 / $211.42
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.70 / $70.03 / $76.13
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.88 / $33.84 / $35.70
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.86 / $37.17 / $40.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $36.44 / $79.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.56 / $99.84 / $150.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.49 / $35.78 / $58.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.20 / $66.15 / $100.52