go back

Nevada 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
$100.00 / $194.98 / $467.74
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.36 / $32.36 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $102.33 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $60.26 / $181.97
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$102.33 / $489.78 / $776.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $58.88 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $66.07 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $26.30 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.18 / $100.00 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $42.66 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $109.65 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $102.33 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $38.90 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$114.82 / $138.04 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $63.10 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $169.82 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $109.65 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $42.66 / $63.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $67.61 / $102.33
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $95.50 / $138.04
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.27 / $35.48 / $52.48
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$0.45 / $60.26 / $87.10
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $125.89
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.27 / $0.27 / $46.77
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$0.45 / $0.45 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $83.18 / $117.49
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $30.90 / $46.77
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $52.48 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $89.13 / $147.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $34.67 / $56.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $54.95 / $89.13