go back

Oregon rates for HCPCS 76642

Us Breast Uni Real Time With Image Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.23 / $274.58 / $602.96
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.89 / $64.17 / $89.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.01 / $104.65 / $417.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.87 / $55.21 / $157.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.56 / $493.03 / $652.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.56 / $62.37 / $260.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.19 / $223.86 / $304.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.51 / $178.79 / $250.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.47 / $67.39 / $94.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.92 / $112.20 / $156.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.29 / $189.13 / $228.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.01 / $72.13 / $83.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.39 / $117.47 / $145.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.76 / $141.15 / $263.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.56 / $150.60 / $269.48
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.78 / $66.63 / $102.93
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$92.25 / $92.25 / $136.85
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.79 / $104.10 / $166.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.69 / $167.29 / $172.72
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.00 / $63.80 / $64.98
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.71 / $54.98 / $66.29
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.38 / $98.56 / $109.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.51 / $207.24 / $263.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.68 / $188.70 / $247.35
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.22 / $70.70 / $94.40
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.34 / $117.35 / $156.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.89 / $281.32 / $339.90
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$209.36 / $209.36 / $209.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.72 / $203.89 / $242.56
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.41 / $77.06 / $91.91
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.16 / $126.83 / $150.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.14 / $101.86 / $255.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.65 / $38.61 / $99.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.49 / $60.68 / $167.58