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Michigan 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
$104.19 / $300.30 / $657.02
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.46 / $41.46 / $54.74
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$82.68 / $107.69 / $333.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.87 / $133.18 / $345.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.67 / $44.35 / $154.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$35.94 / $62.08 / $62.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.95 / $90.94 / $180.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.54 / $104.84 / $164.41
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.85 / $34.52 / $65.86
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.60 / $70.31 / $70.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.17 / $173.75 / $308.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.79 / $152.81 / $201.06
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.08 / $55.39 / $55.39
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.14 / $116.64 / $116.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.52 / $78.04 / $136.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.17 / $83.99 / $131.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.16 / $121.16 / $121.16
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
$91.73 / $139.57 / $293.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.14 / $42.69 / $99.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.83 / $90.80 / $220.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.86 / $353.23 / $699.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.85 / $41.46 / $52.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$82.68 / $107.69 / $562.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.86 / $124.59 / $242.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.85 / $41.47 / $142.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$47.94 / $62.08 / $136.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.06 / $86.81 / $145.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $77.58 / $119.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.97 / $108.97 / $108.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.73 / $129.82 / $182.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.90 / $39.10 / $54.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.23 / $90.27 / $131.11