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Oklahoma rates for HCPCS 76775

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

Facilitymedian $39 · 10th–90th $22$650%20%10th90th$39Professionalmedian $44 · 10th–90th $23$980%5%10th90th$44$10.0$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
$21.88 / $30.90 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $61.66 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $34.67 / $87.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $32.36 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $54.95 / $75.86
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $26.92 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $85.11 / $128.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $28.18 / $43.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $57.54 / $77.62
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $123.03 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $79.43 / $562.34
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $30.90 / $186.21
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $46.77 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $63.10 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $30.90 / $52.48
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $31.62 / $79.43