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Washington 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
$38.90 / $56.23 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $128.82 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $46.77 / $151.36
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$46.77 / $234.42 / $776.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $74.13 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $190.55 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $91.20 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$104.71 / $251.19 / $354.81
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
$104.71 / $177.83 / $323.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $57.54 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $117.49 / $218.78
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.81 / $67.61 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $199.53 / $281.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $66.07 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $131.83 / $194.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $56.23
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $69.18 / $69.18
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $56.23 / $74.13
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $117.49 / $144.54
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.77 / $46.77 / $46.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $229.09 / $295.12
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $77.62 / $104.71
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $154.88 / $204.17
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $208.93 / $288.40
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $70.79 / $95.50
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $138.04 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $117.49 / $263.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $38.90 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $77.62 / $173.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $120.23 / $199.53
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $38.90 / $64.57
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $81.28 / $131.83