go back

Pennsylvania rates for HCPCS 76770

Us Retroperitoneal Real Time W/Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.79 / $339.57 / $876.97
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.60 / $40.83 / $70.41
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$82.78 / $210.88 / $871.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.50 / $143.07 / $559.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.35 / $44.13 / $141.47
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$42.24 / $50.48 / $78.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.86 / $87.95 / $190.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.16 / $88.82 / $185.47
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.94 / $33.24 / $57.63
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.55 / $72.31 / $108.27
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.00 / $150.38 / $1,144.58
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.42 / $121.28 / $187.09
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.50 / $54.34 / $343.60
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
$401.51 / $536.17 / $714.75
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.52 / $108.46 / $256.83
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.90 / $56.54 / $85.34
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.61 / $115.44 / $164.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.61 / $184.10 / $342.91
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
$86.77 / $143.59 / $231.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.07 / $44.85 / $70.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.18 / $98.72 / $160.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.38 / $149.49 / $256.92
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.58 / $50.54 / $79.16
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.07 / $111.94 / $177.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.86 / $282.61 / $515.91
Highmark BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$195.87 / $382.25 / $631.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.44 / $126.78 / $152.66
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.01 / $44.00 / $60.86
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.12 / $107.77 / $129.76
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.99 / $143.88 / $349.82
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.42 / $121.28 / $187.09
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.89 / $44.89 / $343.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.94 / $312.89 / $881.86
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.41 / $43.35 / $100.11
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$79.69 / $256.83 / $1,245.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.88 / $148.88 / $541.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.67 / $46.10 / $124.35
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$45.25 / $55.15 / $143.16
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.48 / $99.12 / $224.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.74 / $141.50 / $233.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.24 / $179.09 / $342.91
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.13 / $40.13 / $40.13
Priority Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$82.40 / $82.40 / $82.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.54 / $142.87 / $228.65
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.63 / $44.82 / $70.89
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.18 / $98.72 / $160.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.02 / $105.02 / $111.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.52 / $34.52 / $40.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$70.50 / $70.50 / $71.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.43 / $105.02 / $113.39
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.63 / $34.54 / $40.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.97 / $70.50 / $77.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.93 / $95.93 / $95.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.95 / $128.13 / $205.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.50 / $40.77 / $67.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.08 / $85.36 / $144.97