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New York 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
$20.37 / $31.68 / $74.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.07 / $88.15 / $239.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.38 / $29.06 / $99.65
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$25.68 / $36.45 / $121.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.14 / $55.88 / $116.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.76 / $43.76 / $45.77
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.77 / $21.03 / $56.30
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$11.44 / $38.31 / $40.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.75 / $69.43 / $203.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.00 / $31.04 / $60.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.75 / $37.72 / $136.28
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $54.33 / $94.40
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
$51.46 / $107.11 / $239.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.11 / $37.54 / $82.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.83 / $70.29 / $153.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.29 / $78.45 / $120.56
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.59 / $35.15 / $56.39
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.70 / $41.30 / $66.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.52 / $75.75 / $120.68
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.80 / $35.88 / $57.46
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.37 / $44.71 / $63.23
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.12 / $23.12 / $32.56
Fidelis
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$31.30 / $31.30 / $31.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.80 / $79.76 / $136.61
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.21 / $30.36 / $58.08
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$44.34 / $44.83 / $70.61
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.97 / $30.97 / $30.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $109.15 / $226.93
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.20 / $38.13 / $79.61
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.59 / $65.31 / $142.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.94 / $76.09 / $173.35
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.96 / $28.89 / $64.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.85 / $50.89 / $134.16
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.53 / $31.53 / $88.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.47 / $76.53 / $150.69
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.80 / $36.43 / $73.73
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.11 / $44.71 / $76.95