go back

Indiana rates for HCPCS 76700

Ultrasound, abdominal, real time with image documentation; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.66 / $350.00 / $1,093.16
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.56 / $42.67 / $68.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.34 / $122.62 / $207.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $37.17 / $79.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.20 / $79.67 / $121.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.86 / $83.52 / $152.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.25 / $30.87 / $54.39
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.61 / $74.47 / $227.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.48 / $350.00 / $439.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.02 / $141.28 / $197.59
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.35 / $61.90 / $73.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.91 / $75.08 / $116.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.03 / $82.69 / $140.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.25 / $82.30 / $131.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.40 / $350.00 / $350.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.62 / $43.62 / $43.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.01 / $153.54 / $254.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.26 / $50.90 / $84.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.88 / $102.22 / $170.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.45 / $128.29 / $216.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.59 / $42.26 / $72.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.86 / $87.54 / $143.79