go back

North Carolina 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
$25.12 / $30.20 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $91.20 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $42.66 / $109.65
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$46.77 / $91.20 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $51.29 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $47.86 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $28.18 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$15.49 / $15.49 / $15.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $38.02 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $58.88 / $77.62
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $100.00 / $177.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.61 / $30.90 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $109.65 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $39.81 / $70.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $66.07 / $125.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $125.89 / $141.25
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $47.86 / $58.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $58.88 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.20 / $165.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $31.62 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $58.88 / $112.20
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$173.78 / $173.78 / $173.78
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $478.63
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$263.03 / $263.03 / $263.03
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$407.38 / $407.38 / $407.38