go back

Illinois 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
$24.54 / $36.82 / $48.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.35 / $101.07 / $333.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.54 / $35.49 / $108.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.24 / $47.07 / $119.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.57 / $48.63 / $61.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.18 / $28.23 / $37.53
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.74 / $45.74 / $45.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.79 / $69.67 / $137.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.72 / $91.82 / $159.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.58 / $37.86 / $55.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.25 / $50.12 / $106.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.33 / $104.03 / $338.67
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.70 / $44.48 / $159.87
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.75 / $54.85 / $184.11
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.73 / $73.23 / $79.56
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.25 / $34.19 / $36.14
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.54 / $39.97 / $43.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $36.82 / $83.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.70 / $90.37 / $145.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.75 / $35.51 / $55.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.66 / $47.27 / $95.04