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Montana rates for HCPCS 76700

Ultrasound, abdominal, real time with image documentation; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.46 / $551.00 / $2,062.61
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.62 / $124.62 / $249.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.62 / $170.74 / $612.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.96 / $52.85 / $188.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.95 / $109.52 / $437.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.87 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.42 / $59.42 / $183.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.22 / $183.50 / $475.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.42 / $59.42 / $73.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.14 / $183.50 / $267.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.88 / $59.42 / $84.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.00 / $124.09 / $181.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.20 / $213.65 / $262.49
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.42 / $59.42 / $73.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.73 / $201.95 / $322.58
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.73 / $59.42 / $68.90
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.13 / $124.09 / $145.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.23 / $135.32 / $219.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.17 / $41.86 / $69.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.37 / $93.65 / $146.41