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Ohio rates for HCPCS 76641

Us Breast Uni Real Time With Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.56 / $47.99 / $120.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.49 / $104.98 / $198.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.34 / $35.77 / $84.57
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$34.90 / $230.00 / $694.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.35 / $70.84 / $122.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.06 / $80.06 / $103.48
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.83 / $39.49 / $69.11
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$105.08 / $120.89 / $155.22
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.09 / $74.09 / $95.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.96 / $118.83 / $190.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.39 / $41.35 / $65.87
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$145.44 / $176.57 / $285.14
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.00 / $77.30 / $123.97
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.11 / $109.11 / $120.21
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.83 / $38.83 / $38.83
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.28 / $70.28 / $77.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $77.43 / $130.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.69 / $133.22 / $212.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.13 / $46.28 / $74.31
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$138.68 / $138.68 / $157.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.51 / $86.43 / $137.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.47 / $134.08 / $212.68
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.94 / $47.34 / $75.68
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$50.39 / $72.15 / $165.75
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.43 / $87.37 / $140.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $82.15 / $132.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.19 / $117.22 / $185.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.83 / $41.42 / $66.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.30 / $76.84 / $119.56