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Iowa 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
$46.68 / $46.68 / $87.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.67 / $101.07 / $246.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.57 / $26.93 / $144.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.01 / $37.77 / $93.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.33 / $89.95 / $92.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.32 / $141.18 / $281.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.95 / $62.83 / $86.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.67 / $78.34 / $192.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.79 / $102.53 / $257.12
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.60 / $41.70 / $120.66
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.38 / $53.67 / $159.97
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.95 / $124.11 / $124.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.70 / $109.15 / $562.97
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.27 / $36.81 / $186.58
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.66 / $52.73 / $399.92
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.95 / $92.57 / $151.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.31 / $130.04 / $206.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.51 / $50.91 / $103.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.99 / $72.39 / $132.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.11 / $33.93 / $63.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.80 / $40.98 / $81.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.24 / $107.90 / $126.90
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.39 / $48.60 / $57.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.85 / $59.30 / $69.80