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Georgia 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
$24.19 / $40.70 / $121.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.87 / $79.58 / $170.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.34 / $29.39 / $69.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.09 / $33.61 / $111.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.74 / $98.55 / $109.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.39 / $38.78 / $49.44
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.50 / $40.96 / $57.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.02 / $93.28 / $170.27
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.48 / $36.86 / $63.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.29 / $48.04 / $109.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.39 / $40.02 / $76.11
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
$58.89 / $111.59 / $200.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.33 / $41.54 / $72.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.40 / $60.35 / $133.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.92 / $76.29 / $228.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.63 / $34.61 / $83.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.29 / $40.10 / $228.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.65 / $50.75 / $108.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.73 / $97.05 / $171.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.11 / $37.06 / $64.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.41 / $51.44 / $109.12