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Wyoming rates for HCPCS 76642

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

Facilitymedian $417 · 10th–90th $95$1,1220%10%10th90th$417Professionalmedian $68 · 10th–90th $32$2190%10%10th90th$68$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
$95.50 / $426.58 / $1,122.02
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $95.50 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $51.29 / $112.20
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$48.98 / $346.74 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $61.66 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $338.84 / $338.84
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $128.82 / $128.82
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$323.59 / $501.19 / $501.19
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $125.89 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $51.29 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $87.10 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $33.11 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $173.78 / $316.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $69.18 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $104.71 / $169.82