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Ohio 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
$26.40 / $36.95 / $94.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.43 / $96.31 / $239.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.82 / $35.04 / $86.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.78 / $46.13 / $98.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.32 / $55.23 / $77.64
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.07 / $27.20 / $43.01
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.61 / $25.08 / $45.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.76 / $94.16 / $149.16
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.09 / $35.14 / $53.72
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.38 / $57.08 / $92.84
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.44 / $65.44 / $65.44
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.62 / $30.62 / $30.62
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.82 / $34.82 / $34.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $39.84 / $74.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.25 / $87.23 / $163.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.86 / $36.82 / $57.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.40 / $47.21 / $110.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.72 / $83.35 / $165.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.25 / $37.85 / $62.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.75 / $43.16 / $110.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $48.49 / $88.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.83 / $68.15 / $119.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.08 / $32.74 / $52.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.57 / $35.29 / $78.04