go back

Texas 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
$96.94 / $532.79 / $1,176.11
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.43 / $29.18 / $78.13
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$61.80 / $268.50 / $621.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.88 / $127.02 / $519.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.51 / $36.22 / $131.93
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$37.46 / $45.94 / $81.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.76 / $75.20 / $146.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.02 / $89.30 / $120.81
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.85 / $33.79 / $64.53
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.77 / $53.55 / $66.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.05 / $293.02 / $511.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $76.52 / $107.91
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.27 / $196.73 / $558.19
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.03 / $125.28 / $195.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.29 / $99.69 / $102.76
Christus
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$66.94 / $66.94 / $73.39
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.76 / $34.88 / $36.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.73 / $292.08 / $525.38
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
$86.14 / $120.83 / $229.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.14 / $37.15 / $70.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.97 / $84.75 / $164.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.42 / $570.62 / $570.62
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $170.43 / $170.43
Lucent Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$155.00 / $400.24 / $400.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.47 / $704.47 / $902.70
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$290.60 / $290.60 / $290.60
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$483.33 / $483.33 / $621.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.71 / $147.16 / $322.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.91 / $135.82 / $190.05
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.46 / $50.46 / $134.56
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.10 / $106.26 / $283.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.04 / $85.72 / $171.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.47 / $146.37 / $282.10
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.13 / $40.13 / $40.13
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$82.40 / $82.40 / $82.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $124.54 / $255.64
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.13 / $35.95 / $66.95
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.84 / $82.01 / $161.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.97 / $166.72 / $250.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.12 / $121.34 / $185.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.02 / $38.77 / $58.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.20 / $85.36 / $126.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $100.03 / $141.82
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.71 / $33.09 / $46.33
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.46 / $66.94 / $96.19