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Florida rates for HCPCS 76641

Us Breast Uni Real Time With Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.40 / $25.27 / $111.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.02 / $95.71 / $188.41
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.40 / $32.51 / $69.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.25 / $633.00 / $749.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.62 / $62.21 / $109.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $80.06 / $111.67
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.71 / $40.46 / $75.87
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$92.28 / $120.09 / $193.00
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.09 / $75.39 / $75.39
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.72 / $39.72 / $106.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $112.76 / $220.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.71 / $39.04 / $76.05
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$138.68 / $138.68 / $138.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.28 / $73.44 / $146.41
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.61 / $38.61 / $38.61
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.72 / $107.37 / $147.69
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.60 / $37.90 / $50.67
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.11 / $69.45 / $97.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $82.73 / $142.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.97 / $90.46 / $168.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.41 / $32.22 / $59.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.12 / $59.10 / $107.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $63.07 / $63.07
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.09 / $21.09 / $21.09
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.98 / $41.98 / $41.98