go back

Kentucky rates for HCPCS 76642

Us Breast Uni Real Time With Image Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.76 / $262.89 / $575.76
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.46 / $31.67 / $57.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $92.36 / $405.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.67 / $34.14 / $125.93
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$111.81 / $547.27 / $663.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.40 / $54.25 / $102.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.60 / $95.40 / $112.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.22 / $30.27 / $47.89
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.87 / $143.09 / $168.35
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.64 / $49.67 / $57.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.00 / $138.00 / $138.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.26 / $78.55 / $108.33
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.44 / $29.29 / $43.49
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$114.39 / $117.82 / $162.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.82 / $49.25 / $63.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.70 / $57.51 / $104.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $51.23 / $101.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.07 / $95.07 / $163.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.03 / $37.03 / $37.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $110.94 / $188.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.04 / $44.56 / $77.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.43 / $66.81 / $110.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $70.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.98 / $90.52 / $128.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.99 / $36.99 / $52.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.23 / $52.89 / $73.88