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New Hampshire rates for HCPCS 76775

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

Facilitymedian $41 · 10th–90th $29$1100%20%10th90th$41Professionalmedian $58 · 10th–90th $26$1170%5%10%10th90th$58$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$28.84 / $40.74 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $69.18 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $32.36 / $66.07
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $38.90 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $33.88 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $89.13 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $39.81 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $47.86 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $114.82 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $42.66 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $64.57 / $138.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $100.00 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $48.98 / $74.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $60.26 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $102.33 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $38.90 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $57.54 / $89.13
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.05 / $23.99 / $26.92