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North Dakota rates for HCPCS 76604

Us Chest Real Time W/Image Documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.04 / $29.04 / $46.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.77 / $79.73 / $127.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.46 / $27.36 / $75.65
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.44 / $29.43 / $39.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.64 / $55.88 / $91.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.41 / $141.13 / $147.57
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.26 / $65.73 / $68.70
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.15 / $75.11 / $78.87
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
$82.67 / $109.75 / $161.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.47 / $50.12 / $68.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.71 / $59.63 / $99.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $159.47 / $447.95
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.59 / $53.33 / $265.83
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.89 / $101.40 / $398.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $135.56 / $180.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.59 / $48.53 / $68.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.59 / $91.60 / $124.56