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Indiana rates for HCPCS 76775

Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited

Facilitymedian $35 · 10th–90th $26$450%20%10th90th$35Professionalmedian $52 · 10th–90th $26$1290%5%10%10th90th$52$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.70 / $34.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $70.79 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $37.15 / $91.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $37.15 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $54.95 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $25.70 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $47.86 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $95.50 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $38.02 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $57.54 / $91.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $37.15 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $95.50 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $35.48 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $54.95 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $79.43 / $131.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $30.20 / $53.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $39.81 / $89.13