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New York 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
$21.69 / $30.92 / $74.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.71 / $94.92 / $246.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.69 / $29.99 / $74.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.01 / $57.68 / $98.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.01 / $47.55 / $109.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.07 / $23.63 / $40.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.92 / $66.41 / $186.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.40 / $29.68 / $63.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.51 / $34.89 / $118.88
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.53 / $42.39 / $82.92
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
$51.11 / $110.40 / $226.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.21 / $38.90 / $84.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $61.12 / $140.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.20 / $82.15 / $129.44
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.92 / $35.69 / $57.02
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.15 / $44.41 / $71.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.54 / $79.16 / $126.22
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.93 / $36.28 / $58.12
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.63 / $48.65 / $73.93
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.49 / $61.43 / $64.84
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.65 / $25.65 / $26.56
Fidelis
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.70 / $47.70 / $47.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.89 / $65.18 / $139.61
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.59 / $35.19 / $66.79
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.15 / $36.15 / $75.34
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.27 / $31.27 / $31.27
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.01 / $100.00 / $213.26
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.82 / $38.92 / $82.88
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.19 / $44.69 / $119.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $69.09 / $145.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.26 / $29.59 / $70.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.70 / $34.51 / $88.96
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.89 / $31.89 / $93.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.10 / $80.04 / $156.79
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.93 / $36.85 / $73.69
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.43 / $48.65 / $83.10