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Arkansas rates for HCPCS 76641

Us Breast Uni Real Time With Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.78 / $46.11 / $56.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $113.78 / $128.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.80 / $38.54 / $56.75
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$139.38 / $598.00 / $1,196.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.64 / $77.84 / $82.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.25 / $153.55 / $172.73
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.64 / $57.73 / $95.86
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$228.04 / $230.33 / $259.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.02 / $136.35 / $151.50
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.54 / $49.69 / $55.21
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.48 / $86.66 / $96.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.02 / $66.11 / $126.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.42 / $136.84 / $190.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.50 / $49.80 / $68.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.08 / $86.96 / $122.41
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.50 / $176.58 / $198.64
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.26 / $66.39 / $110.24
Qualchoice
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$262.25 / $262.25 / $297.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.85 / $121.61 / $182.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.45 / $42.53 / $67.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.05 / $76.88 / $116.65