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Tennessee 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
$29.51 / $40.74 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $109.65 / $229.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $45.71 / $123.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$64.57 / $234.42 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $70.79 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $81.28 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $39.81 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.65 / $151.36 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $74.13 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $117.49 / $213.80
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $51.29 / $83.18
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $95.50 / $151.36
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.51 / $39.81 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $44.67 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $79.43 / $134.90
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$218.78 / $218.78 / $218.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $851.14
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.78 / $281.84 / $281.84
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$446.68 / $575.44 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $42.66 / $69.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $77.62 / $128.82