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Oklahoma rates for HCPCS 76642

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

Facilitymedian $316 · 10th–90th $72$7240%10%10th90th$316Professionalmedian $60 · 10th–90th $31$1150%10%10th90th$60$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$83.18 / $398.11 / $724.44
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.70 / $37.15 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $81.28 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $44.67 / $91.20
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$45.71 / $104.71 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $52.48 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $25.70 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $251.19 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $81.28 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $218.78 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $81.28 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $33.88 / $52.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $47.86 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $109.65 / $295.12
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $147.91 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $97.72 / $549.54
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $37.15 / $204.17
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $57.54 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $131.83 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $91.20 / $134.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $36.31 / $70.79
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $54.95 / $89.13