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Missouri rates for HCPCS 76700

Ultrasound, abdominal, real time with image documentation; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.24 / $263.00 / $1,132.63
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.93 / $45.82 / $71.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.73 / $136.33 / $710.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.61 / $51.52 / $167.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.12 / $99.56 / $454.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $86.31 / $171.71
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.32 / $34.10 / $57.14
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.37 / $64.54 / $127.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.00 / $477.00 / $1,193.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.91 / $140.63 / $238.40
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.95 / $49.33 / $79.28
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.95 / $89.18 / $163.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.69 / $252.46 / $455.25
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
$97.11 / $153.69 / $257.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.35 / $51.73 / $93.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.79 / $99.91 / $181.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.21 / $166.65 / $446.36
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.38 / $172.60 / $172.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.91 / $154.10 / $760.68
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.93 / $50.32 / $303.79
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.20 / $102.77 / $518.02
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.47 / $197.47 / $197.47
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.51 / $69.51 / $69.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.71 / $134.38 / $222.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.31 / $44.55 / $73.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.58 / $93.41 / $148.81