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Delaware 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
$26.53 / $35.90 / $68.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $101.07 / $252.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.26 / $26.53 / $83.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.41 / $75.81 / $94.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.95 / $81.54 / $114.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.22 / $29.78 / $49.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.73 / $46.46 / $77.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.53 / $75.53 / $75.53
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.64 / $26.64 / $280.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.92 / $89.87 / $133.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.16 / $32.81 / $64.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.69 / $66.52 / $89.52