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Alaska rates for HCPCS 76770

Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.69 / $871.71 / $1,380.82
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.61 / $150.38 / $242.25
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$217.76 / $744.01 / $917.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.64 / $172.29 / $409.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.67 / $42.71 / $156.40
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$67.67 / $163.85 / $230.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.95 / $109.52 / $217.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.44 / $466.44 / $466.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.86 / $178.02 / $360.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.14 / $66.90 / $129.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.93 / $114.83 / $247.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.45 / $327.70 / $468.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.20 / $313.44 / $628.16
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.10 / $100.92 / $233.92
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.10 / $212.52 / $394.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.50 / $468.35 / $646.00
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.00 / $150.80 / $210.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.25 / $317.55 / $436.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.02 / $327.70 / $466.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.05 / $345.63 / $638.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.26 / $156.00 / $236.08
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.65 / $322.50 / $498.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.74 / $345.63 / $576.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.35 / $129.18 / $215.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.23 / $216.45 / $346.32