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Nebraska 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
$26.21 / $85.23 / $236.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.38 / $112.65 / $283.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.72 / $56.92 / $108.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.17 / $62.72 / $94.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.82 / $113.39 / $133.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.58 / $46.77 / $65.01
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.98 / $60.98 / $71.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.66 / $109.91 / $113.63
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.64 / $51.43 / $52.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.13 / $58.82 / $60.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$151.80 / $151.80 / $151.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.47 / $129.51 / $176.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.38 / $60.15 / $78.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.98 / $64.33 / $107.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.11 / $124.11 / $131.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.80 / $110.63 / $562.97
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.74 / $51.68 / $186.58
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.53 / $61.26 / $399.92
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.95 / $92.57 / $151.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.31 / $131.38 / $173.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $54.78 / $115.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.54 / $110.48 / $138.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.74 / $52.40 / $68.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.79 / $60.08 / $87.55