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Rhode Island rates for HCPCS 76775

Us Retroperitoneal Real Time W/Image Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$175.15 / $175.15 / $175.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $111.86 / $466.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.18 / $26.84 / $65.51
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $75.81 / $85.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.45 / $75.83 / $219.01
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.72 / $33.89 / $53.96
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.36 / $41.94 / $41.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.40 / $95.22 / $140.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.92 / $39.88 / $58.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.84 / $53.81 / $78.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.02 / $83.83 / $118.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.46 / $32.54 / $52.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.32 / $47.58 / $74.48