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Maryland rates for HCPCS 76642

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

Facilitymedian $417 · 10th–90th $91$6920%10%10th90th$417Professionalmedian $83 · 10th–90th $34$3090%5%10%10th90th$83$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $446.68 / $691.83
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $33.88 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $97.72 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $66.07 / $131.83
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$66.07 / $169.82 / $645.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $61.66 / $257.04
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $85.11 / $95.50
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $34.67 / $37.15
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $54.95 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $100.00 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $38.02 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $61.66 / $109.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $102.33 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $37.15 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $64.57 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $51.29 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $93.33 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $36.31 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $57.54 / $120.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $109.65 / $128.82
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $38.90 / $47.86
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $70.79 / $83.18