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Pennsylvania rates for HCPCS 76705

Us Abdominal Real Time W/Image Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.79 / $376.60 / $718.28
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.60 / $35.82 / $55.60
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$70.16 / $202.69 / $547.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.38 / $112.45 / $445.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.50 / $36.57 / $115.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.12 / $74.52 / $185.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.62 / $68.55 / $87.26
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.02 / $28.10 / $45.94
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.37 / $63.16 / $87.48
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.97 / $224.90 / $3,739.93
AmeriHealth
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$110.97 / $235.54 / $2,432.96
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.62 / $36.67 / $63.73
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$315.41 / $421.20 / $561.47
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.11 / $139.36 / $187.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.86 / $45.63 / $68.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.25 / $93.50 / $119.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.39 / $162.00 / $296.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.67 / $31.67 / $31.67
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$66.73 / $66.73 / $66.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.67 / $113.11 / $184.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.34 / $35.72 / $56.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.55 / $77.40 / $124.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.61 / $120.40 / $206.46
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.58 / $40.29 / $63.09
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.27 / $90.34 / $143.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.43 / $265.89 / $491.67
Highmark BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$187.91 / $376.76 / $849.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.55 / $106.44 / $130.07
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.15 / $35.83 / $48.59
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.14 / $85.94 / $104.81
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.97 / $216.22 / $523.15
Independence Blue Cross
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$108.42 / $219.53 / $523.15
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.84 / $36.67 / $61.80
Johns Hopkins Employer Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.18 / $141.18 / $141.18
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.18 / $141.18 / $141.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.79 / $317.47 / $757.22
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.34 / $35.82 / $79.75
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$67.56 / $219.25 / $966.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $118.44 / $420.23
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.34 / $37.27 / $105.24
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.03 / $80.13 / $184.66
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.53 / $169.49 / $226.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $106.00 / $188.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.36 / $159.59 / $342.91
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.67 / $31.67 / $31.67
Priority Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$66.73 / $66.73 / $66.73
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.88 / $111.80 / $182.07
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.72 / $35.64 / $56.58
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.02 / $76.34 / $124.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.08 / $85.08 / $102.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.86 / $27.86 / $31.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$57.22 / $57.22 / $71.01
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.91 / $85.08 / $102.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.10 / $27.92 / $31.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.99 / $57.22 / $71.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.76 / $99.17 / $166.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.83 / $32.59 / $61.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.02 / $69.08 / $116.19