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Idaho 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
$40.20 / $69.30 / $69.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.16 / $104.50 / $348.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.26 / $29.52 / $65.51
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.22 / $72.23 / $98.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $92.34 / $143.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.19 / $42.59 / $55.85
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.49 / $47.12 / $77.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.32 / $263.32 / $338.55
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.98 / $111.98 / $143.83
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.34 / $151.34 / $194.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.14 / $105.97 / $139.47
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.76 / $47.74 / $53.04
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.38 / $56.61 / $64.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $48.94 / $106.47
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $211.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.23 / $122.62 / $139.47
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.17 / $55.49 / $66.83
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.88 / $67.13 / $72.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.91 / $104.65 / $201.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.25 / $31.16 / $55.75
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.32 / $56.29 / $155.60