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Indiana rates for HCPCS 76770

Us Retroperitoneal Real Time W/Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.80 / $389.02 / $963.68
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.39 / $36.93 / $63.13
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$65.95 / $97.82 / $343.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.89 / $119.64 / $202.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.67 / $33.95 / $74.54
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$46.24 / $50.48 / $62.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.90 / $75.20 / $126.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.20 / $78.84 / $146.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.74 / $27.94 / $48.48
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.04 / $81.29 / $227.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.04 / $350.00 / $412.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.49 / $130.02 / $190.71
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.64 / $55.28 / $66.70
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.26 / $74.73 / $115.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $78.04 / $131.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.58 / $77.53 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.40 / $350.00 / $350.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.13 / $40.13 / $40.13
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$82.40 / $82.40 / $82.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.99 / $143.55 / $246.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.44 / $46.37 / $76.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.95 / $97.55 / $169.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.69 / $235.69 / $235.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.86 / $125.71 / $217.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.89 / $37.93 / $65.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.19 / $84.96 / $137.09