go back

Texas rates for HCPCS 76641

Us Breast Uni Real Time With Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.22 / $28.89 / $45.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.68 / $98.70 / $194.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.92 / $32.67 / $57.73
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.27 / $250.38 / $747.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.47 / $61.74 / $109.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $79.65 / $100.51
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.78 / $36.38 / $79.38
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$99.56 / $120.23 / $157.72
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.22 / $74.09 / $74.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $72.78 / $102.63
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.08 / $132.75 / $171.15
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.74 / $34.54 / $67.31
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.72 / $39.72 / $39.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $109.80 / $202.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.11 / $37.64 / $70.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.87 / $71.95 / $132.34
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.13 / $170.67 / $170.67
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.61 / $667.61 / $853.65
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$219.03 / $219.03 / $281.02
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$448.58 / $448.58 / $572.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.18 / $133.62 / $315.00
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.46 / $53.82 / $134.56
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$86.55 / $223.23 / $415.65
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.64 / $98.01 / $261.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $72.34 / $151.66
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.72 / $39.72 / $39.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.39 / $113.87 / $237.01
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.52 / $36.25 / $66.15
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.01 / $68.98 / $124.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $114.29 / $171.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.74 / $39.03 / $59.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.74 / $75.19 / $112.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $94.82 / $134.41
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.71 / $33.07 / $46.30
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.77 / $61.74 / $88.78