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Maryland rates for HCPCS 76641

Us Breast Uni Real Time With Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.01 / $36.01 / $40.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.92 / $110.31 / $441.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.01 / $34.14 / $83.39
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$113.77 / $357.05 / $749.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.11 / $70.84 / $165.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.06 / $111.18 / $184.62
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.03 / $40.03 / $68.63
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.04 / $71.15 / $103.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.76 / $124.06 / $238.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.89 / $41.45 / $76.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.06 / $84.26 / $153.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.70 / $126.84 / $185.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.04 / $42.23 / $57.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.51 / $85.67 / $128.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.19 / $109.96 / $259.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.30 / $36.43 / $66.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.28 / $75.12 / $133.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.82 / $121.55 / $150.60
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $40.47 / $51.05
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.92 / $81.09 / $101.24