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Indiana rates for HCPCS 76604

Us Chest Real Time W/Image Documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.44 / $30.52 / $37.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.38 / $65.45 / $95.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.91 / $26.51 / $60.42
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.72 / $27.26 / $52.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.94 / $32.67 / $63.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $42.25 / $46.09
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.78 / $23.13 / $37.83
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$10.95 / $11.44 / $79.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.49 / $37.25 / $37.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.42 / $84.28 / $130.63
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.80 / $36.00 / $51.12
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.79 / $48.28 / $74.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.48 / $34.49 / $67.28
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
$61.55 / $91.90 / $176.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.65 / $36.01 / $57.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.01 / $57.80 / $119.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.02 / $85.51 / $141.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.06 / $29.23 / $52.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.80 / $55.98 / $90.73