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Wisconsin rates for HCPCS 76700

Ultrasound, abdominal, real time with image documentation; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.80 / $829.69 / $1,439.96
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.95 / $66.33 / $80.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.38 / $203.66 / $933.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.96 / $68.17 / $320.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.05 / $117.93 / $292.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.29 / $175.60 / $654.53
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.21 / $66.20 / $220.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.08 / $117.93 / $434.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.69 / $90.99 / $146.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.79 / $86.14 / $143.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.19 / $370.67 / $568.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.02 / $116.89 / $179.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.13 / $408.83 / $464.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.75 / $133.66 / $151.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.41 / $275.13 / $312.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.27 / $175.50 / $322.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.27 / $225.30 / $662.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.60 / $172.60 / $615.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.55 / $271.27 / $760.68
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.81 / $100.10 / $303.79
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.76 / $174.66 / $518.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.36 / $112.06 / $253.98
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.27 / $170.00 / $308.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.94 / $329.39 / $519.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.73 / $523.79 / $523.79
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $172.60 / $172.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.18 / $594.90 / $760.68
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.30 / $200.45 / $303.79
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.88 / $394.45 / $518.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.02 / $728.44 / $728.44
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.06 / $145.66 / $219.14
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.90 / $233.32 / $574.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.79 / $224.75 / $521.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.86 / $76.73 / $154.35
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.23 / $150.21 / $345.74