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Alabama rates for HCPCS 76642

Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $165.96 / $676.08
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $93.33 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $66.07 / $125.89
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$48.98 / $144.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.74 / $54.95 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $67.61 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $38.90 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$81.28 / $81.28 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $70.79 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $181.97 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $93.33
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $34.67 / $38.02
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.48 / $51.29 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $131.83 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $102.33 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $43.65 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $64.57 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $128.82 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $81.28 / $134.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $33.11 / $50.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $48.98 / $74.13