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Vermont rates for HCPCS 76642

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

Facilitymedian $851 · 10th–90th $83$1,0000%20%10th90th$851Professionalmedian $71 · 10th–90th $32$1700%10%10th90th$71$20.0$50.0$100.0$200.0$500.0$1.0K

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 / $977.24 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $85.11 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $67.61 / $194.98
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$69.18 / $104.71 / $251.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $57.54 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $602.56 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $120.23
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $38.90 / $46.77
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $63.10 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $123.03 / $363.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $46.77 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $75.86 / $162.18
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $89.13 / $363.08
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $35.48 / $134.90
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $54.95 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $109.65 / $218.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $45.71 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $66.07 / $134.90