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Kentucky 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
$24.08 / $27.10 / $48.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.37 / $101.07 / $348.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.19 / $28.11 / $64.05
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.29 / $50.07 / $109.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.63 / $80.97 / $80.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.48 / $28.23 / $42.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.19 / $92.16 / $123.80
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.90 / $31.65 / $44.41
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.21 / $61.43 / $79.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.77 / $36.89 / $71.73
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
$54.68 / $105.11 / $189.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.19 / $38.31 / $64.39
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.62 / $56.89 / $135.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $66.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.87 / $82.38 / $113.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.61 / $30.88 / $49.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.26 / $46.66 / $77.15