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North Carolina 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
$85.11 / $302.00 / $524.81
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.84 / $36.31 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $100.00 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $66.07 / $177.83
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$48.98 / $173.78 / $676.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $58.88 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $33.11 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.72 / $117.49 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.31 / $51.29 / $69.18
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $74.13 / $97.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $97.72 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $107.15 / $223.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $37.15 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $125.89 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $48.98 / $87.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $75.86 / $131.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $69.18 / $69.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $95.50 / $194.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $549.54 / $549.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $75.86 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $67.61 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $186.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $40.74 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $61.66 / $112.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$204.17 / $204.17 / $204.17
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $707.95
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$204.17 / $204.17 / $263.03
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $338.84 / $446.68