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West Virginia rates for HCPCS 76604

Ultrasound, chest (includes mediastinum), real time with image documentation

Facilitymedian $30 · 10th–90th $27$430%20%10th90th$30Professionalmedian $56 · 10th–90th $25$1150%10%10th90th$56$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $30.20 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $89.13 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $47.86 / $85.11
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$74.13 / $100.00 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $47.86 / $102.33
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $43.65 / $85.11
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.61 / $30.90 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $104.71 / $338.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $38.90 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $69.18 / $190.55
Highmark BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $154.88
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $46.77 / $72.44
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $79.43 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $28.84 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $52.48 / $95.50