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Oregon 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
$38.02 / $58.88 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $91.20 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $38.90 / $151.36
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$53.70 / $81.28 / $446.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $54.95 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $50.12 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $70.79 / $131.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $57.54 / $69.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $70.79 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.02 / $52.48 / $79.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $131.83 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $56.23 / $83.18
Moda Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$53.70 / $81.28 / $446.68
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $69.18 / $97.72
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $52.48 / $54.95
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $46.77 / $57.54
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $91.20 / $120.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $144.54 / $190.55
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $53.70 / $74.13
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $89.13 / $138.04
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$389.05 / $389.05 / $389.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $141.25 / $190.55
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $57.54 / $74.13
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $75.86 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $89.13 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $30.20 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $61.66 / $117.49