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Illinois 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
$31.62 / $46.77 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $128.82 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $56.23 / $158.49
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$58.88 / $239.88 / $724.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $74.13 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $79.43 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $41.69 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$100.00 / $125.89 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $74.13 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $109.65 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $138.04 / $208.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $48.98 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $91.20 / $144.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $204.17 / $446.68
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $52.48 / $199.53
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $93.33 / $309.03
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $123.03 / $131.83
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $41.69 / $45.71
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $77.62 / $87.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $125.89 / $186.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $43.65 / $66.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $81.28 / $123.03