go back

North Carolina 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
$24.87 / $30.08 / $45.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $100.18 / $246.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.52 / $27.95 / $80.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.01 / $57.68 / $94.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.45 / $45.72 / $144.63
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.39 / $29.44 / $57.83
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.39 / $25.39 / $25.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.95 / $72.95 / $72.95
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.85 / $61.72 / $83.63
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.44 / $140.05 / $190.54
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
$61.40 / $110.10 / $179.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.75 / $43.42 / $72.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.84 / $61.74 / $127.18
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.56 / $48.00 / $74.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $74.00 / $209.06
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.56 / $42.56 / $48.00
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.42 / $107.42 / $107.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $50.25 / $109.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.93 / $96.81 / $164.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.72 / $35.78 / $74.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.13 / $54.25 / $89.93
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.90 / $134.57 / $134.57
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.35 / $505.35 / $562.97
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.58 / $186.58 / $221.33
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$342.11 / $399.92 / $399.92