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Pennsylvania rates for HCPCS 76604

Us Chest Real Time W/Image Documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.76 / $35.90 / $72.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.47 / $79.34 / $280.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.46 / $32.20 / $108.68
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.24 / $30.51 / $412.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.10 / $50.92 / $114.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.03 / $46.63 / $107.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.63 / $26.63 / $44.81
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$8.76 / $38.31 / $57.96
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.74 / $22.74 / $22.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $58.92 / $157.28
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.22 / $43.18 / $63.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.56 / $49.27 / $107.89
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
$56.02 / $91.90 / $153.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.72 / $33.33 / $54.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.28 / $58.38 / $100.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $88.02 / $137.03
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.79 / $39.29 / $61.46
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.99 / $47.56 / $75.56
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.14 / $68.06 / $72.70
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.92 / $32.49 / $45.53
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$32.07 / $32.07 / $34.04
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.76 / $38.77 / $85.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.35 / $85.83 / $245.08
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.32 / $36.43 / $80.13
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.24 / $37.22 / $351.00
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.58 / $49.22 / $124.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $97.50 / $165.90
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.97 / $30.97 / $30.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.02 / $89.81 / $151.81
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.86 / $33.13 / $54.47
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.59 / $58.38 / $99.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.23 / $27.23 / $30.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.09 / $55.04 / $80.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.47 / $27.31 / $30.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.25 / $27.81 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.42 / $84.46 / $148.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.28 / $30.82 / $53.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.34 / $54.49 / $90.13