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Virginia rates for HCPCS 76770

Us Retroperitoneal Real Time W/Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.94 / $531.70 / $984.61
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.08 / $52.83 / $99.64
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$73.40 / $680.47 / $748.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $104.47 / $212.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.66 / $33.68 / $73.64
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$44.66 / $50.39 / $66.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.42 / $73.40 / $137.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.21 / $413.93 / $541.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.88 / $125.68 / $175.18
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.96 / $40.02 / $56.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.91 / $85.46 / $119.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.32 / $143.78 / $387.56
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.56 / $38.56 / $72.88
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.76 / $104.76 / $198.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.84 / $298.52 / $538.25
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
$87.82 / $144.35 / $258.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.14 / $44.85 / $82.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.39 / $98.69 / $176.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.79 / $127.32 / $156.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.31 / $39.79 / $49.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.56 / $88.64 / $110.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.78 / $163.13 / $228.80
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.98 / $72.00 / $107.94
Medcost
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$114.50 / $127.52 / $212.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $120.00 / $206.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.76 / $113.02 / $212.28
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.68 / $142.68 / $265.37
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.18 / $49.49 / $78.53
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.59 / $115.03 / $174.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.22 / $250.18 / $250.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.22 / $137.04 / $197.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.60 / $40.97 / $60.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.72 / $92.23 / $148.29