go back

New York rates for HCPCS 76642

Us Breast Uni Real Time With Image Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.30 / $152.40 / $631.50
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.73 / $36.22 / $87.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $93.35 / $357.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.10 / $41.75 / $122.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$67.42 / $181.96 / $641.46
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.82 / $54.25 / $148.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.97 / $63.72 / $75.15
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.68 / $27.74 / $52.10
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.45 / $99.15 / $112.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.88 / $99.20 / $220.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.05 / $36.08 / $77.19
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.83 / $148.81 / $314.44
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.83 / $63.12 / $133.04
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.44 / $76.29 / $114.44
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.44 / $76.29 / $123.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.34 / $180.57 / $204.70
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
$67.72 / $124.27 / $267.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.15 / $46.62 / $98.29
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$113.75 / $113.75 / $113.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.94 / $80.12 / $170.61
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.36 / $79.40 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $114.17 / $173.23
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.62 / $42.36 / $67.36
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.05 / $69.77 / $105.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.93 / $26.93 / $26.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $100.08 / $179.37
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.83 / $42.86 / $68.78
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.86 / $61.71 / $110.59
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.18 / $90.96 / $157.16
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.94 / $27.56 / $38.47
Fidelis
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$137.88 / $143.44 / $147.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.85 / $126.93 / $476.97
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.62 / $97.03 / $151.04
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.21 / $50.46 / $70.31
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$90.12 / $165.35 / $230.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.94 / $180.57 / $254.50
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.03 / $37.03 / $37.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.94 / $122.02 / $264.85
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.19 / $46.03 / $97.36
MVP Health Care
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$113.75 / $113.75 / $113.75
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.82 / $75.15 / $166.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.41 / $88.84 / $209.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.33 / $34.03 / $82.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.34 / $54.57 / $126.86
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.43 / $98.43 / $140.69
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.74 / $37.74 / $55.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $113.74 / $216.17
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.83 / $43.61 / $82.89
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.86 / $70.13 / $133.28