go back

California rates for HCPCS 76775

Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.37 / $28.17 / $167.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.66 / $112.66 / $480.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.26 / $33.72 / $122.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.27 / $85.82 / $161.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.56 / $56.77 / $79.01
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.30 / $26.09 / $62.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.41 / $134.57 / $243.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.60 / $40.47 / $78.98
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.20 / $94.50 / $144.65
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $103.90 / $239.83
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.65 / $27.89 / $75.38
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.70 / $78.26 / $172.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.27 / $31.27 / $31.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.69 / $103.56 / $203.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.17 / $36.14 / $77.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.83 / $61.54 / $129.32
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.38 / $76.06 / $102.69
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.15 / $30.48 / $41.15
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.23 / $45.58 / $61.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.63 / $78.25 / $139.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.99 / $38.04 / $64.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.46 / $53.50 / $89.47
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.90 / $124.11 / $134.57
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.35 / $562.97 / $562.97
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.58 / $186.58 / $221.33
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$342.11 / $399.92 / $399.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $34.95
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.27 / $31.27 / $31.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.68 / $110.51 / $173.40
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.29 / $34.65 / $76.62
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.83 / $62.03 / $122.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.42 / $194.42 / $194.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.99 / $93.99 / $93.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.42 / $100.42 / $100.42
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $84.57 / $147.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.72 / $74.75 / $194.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.04 / $29.59 / $81.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.15 / $44.29 / $102.91