go back

Maryland rates for HCPCS 76642

Us Breast Uni Real Time With Image Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.26 / $403.20 / $646.79
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.01 / $38.07 / $55.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.08 / $94.71 / $401.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.03 / $49.98 / $144.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$105.64 / $292.91 / $641.46
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.41 / $54.81 / $238.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.05 / $91.17 / $182.34
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.56 / $37.29 / $68.63
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.49 / $53.88 / $87.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.30 / $99.95 / $189.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.08 / $38.65 / $71.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.94 / $65.23 / $118.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.67 / $105.20 / $152.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.68 / $39.42 / $53.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.82 / $66.58 / $98.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.29 / $89.20 / $162.16
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.48 / $33.33 / $59.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.17 / $58.72 / $137.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $100.82 / $124.98
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.50 / $37.78 / $47.60
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.57 / $63.04 / $78.69