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Alaska rates for HCPCS 76705

Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.55 / $634.50 / $989.80
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.71 / $120.73 / $167.37
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$168.25 / $513.09 / $787.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.70 / $118.44 / $331.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.26 / $37.97 / $145.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.45 / $88.97 / $181.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.44 / $466.44 / $466.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.71 / $143.51 / $294.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.23 / $53.52 / $102.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.93 / $94.89 / $204.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.77 / $364.95 / $725.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.25 / $252.30 / $549.12
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.13 / $80.55 / $185.03
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.97 / $171.75 / $319.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.00 / $377.00 / $530.00
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.75 / $120.35 / $168.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.25 / $256.64 / $354.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.28 / $264.83 / $378.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.60 / $277.92 / $522.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.65 / $124.50 / $190.68
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.25 / $261.00 / $404.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.80 / $227.68 / $463.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.79 / $102.83 / $171.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.09 / $175.10 / $292.08