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Connecticut rates for HCPCS 76641

Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $141.25 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $120.23 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $48.98 / $144.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$53.70 / $229.09 / $776.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $72.44 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $144.54 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $50.12 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$154.88 / $218.78 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $97.72 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $50.12 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $104.71 / $186.21
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $177.83
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $45.71 / $194.98
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $95.50 / $194.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $162.18 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $208.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $38.90 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $79.43 / $141.25