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West Virginia rates for HCPCS 76642

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

Facilitymedian $417 · 10th–90th $78$6610%10%10th90th$417Professionalmedian $71 · 10th–90th $32$1700%10%10th90th$71$10.0$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
$100.00 / $446.68 / $660.69
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.90 / $31.62 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $81.28 / $269.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $67.61 / $100.00
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$66.07 / $104.71 / $251.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $52.48 / $91.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $56.23 / $114.82
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $74.13 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $131.83 / $181.97
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $37.15 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $117.49 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $46.77 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $67.61 / $245.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $407.38 / $562.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $134.90 / $147.91
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $85.11 / $107.15
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $95.50 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $89.13 / $165.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $34.67 / $70.79
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $54.95 / $104.71