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New Mexico rates for HCPCS 76775

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

Facilitymedian $40 · 10th–90th $35$500%20%40%10th90th$40Professionalmedian $43 · 10th–90th $22$1170%5%10th90th$43$20.0$50.0$100.0$200.0$500.0

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
$35.48 / $39.81 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $66.07 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $30.20 / $109.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $33.88 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $41.69 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $123.03 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $36.31 / $50.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $79.43 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $67.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $123.03 / $181.97
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $37.15 / $50.12
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $91.20 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $109.65 / $158.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $30.90 / $74.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $77.62 / $109.65