go back

Washington 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
$31.41 / $49.31 / $99.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.58 / $112.65 / $337.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.26 / $31.41 / $83.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.61 / $75.81 / $128.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.30 / $50.31 / $99.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.26 / $29.44 / $47.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.91 / $124.11 / $124.11
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.80 / $151.51 / $562.97
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.94 / $69.11 / $224.85
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.87 / $86.78 / $399.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.39 / $122.84 / $204.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.48 / $50.73 / $83.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.40 / $69.11 / $128.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.98 / $59.45 / $98.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.00 / $137.36 / $245.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.10 / $57.64 / $72.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.77 / $78.61 / $187.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $65.14 / $147.48
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.55 / $54.03 / $55.02
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.27 / $56.90 / $61.76
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.96 / $46.74 / $59.49
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.35 / $56.28 / $136.96
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.02 / $37.02 / $37.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.24 / $136.44 / $167.78
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.33 / $62.39 / $75.92
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.97 / $74.70 / $93.30
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.93 / $117.68 / $158.50
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.88 / $54.54 / $73.11
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.04 / $64.43 / $86.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.91 / $83.87 / $164.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.90 / $31.01 / $74.77
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.32 / $49.92 / $90.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.03 / $68.03 / $68.03
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.68 / $28.68 / $28.68
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.34 / $39.34 / $39.34