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Maine rates for HCPCS 76775

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

Facilitymedian $50 · 10th–90th $33$1580%20%40%10th90th$50Professionalmedian $54 · 10th–90th $25$1170%10%10th90th$54$10.0$50.0$200.0$1.0K$5.0K

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
$33.11 / $50.12 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $79.43 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $37.15 / $69.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $34.67 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $87.10 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $38.90 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $46.77 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $97.72 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $40.74 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $63.10 / $114.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $91.20 / $173.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $42.66 / $77.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $54.95 / $95.50
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$31.62 / $33.11 / $3,801.89
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $85.11 / $169.82
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $35.48 / $66.07
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $45.71 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $95.50 / $158.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $40.74 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $47.86 / $89.13