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Georgia rates for HCPCS 76641

Us Breast Uni Real Time With Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.05 / $34.35 / $153.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $109.40 / $259.91
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.64 / $36.07 / $88.71
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$90.59 / $265.25 / $778.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.11 / $70.84 / $154.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.17 / $168.12 / $183.75
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.97 / $45.97 / $81.81
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$114.37 / $196.95 / $275.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.65 / $112.65 / $112.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.07 / $132.02 / $239.99
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.42 / $41.23 / $80.61
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$133.60 / $197.08 / $359.98
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.67 / $79.78 / $159.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $74.50 / $130.94
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.72 / $39.72 / $39.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.35 / $154.38 / $269.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.33 / $52.48 / $92.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.23 / $101.10 / $177.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.97 / $118.76 / $455.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.78 / $42.61 / $154.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.19 / $78.23 / $300.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $93.11 / $166.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.96 / $139.24 / $231.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.77 / $47.44 / $79.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.78 / $89.35 / $152.74