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Georgia 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
$30.20 / $67.61 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $117.49 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $52.48 / $177.83
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.44 / $234.42 / $776.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $70.79 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $112.20 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $42.66 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$112.20 / $154.88 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $112.20 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $128.82 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $41.69 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$151.36 / $190.55 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $79.43 / $128.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $72.44 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $147.91 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $51.29 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $97.72 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $117.49 / $512.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $38.90 / $173.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $77.62 / $338.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $93.33 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $229.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $45.71 / $77.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $87.10 / $151.36