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Wyoming 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
$26.37 / $26.37 / $26.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.52 / $70.02 / $126.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.89 / $28.17 / $63.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.44 / $37.67 / $98.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $248.00 / $248.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.00 / $115.00 / $115.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.00 / $133.00 / $133.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $109.20 / $171.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.56 / $42.72 / $75.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.75 / $56.63 / $91.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.96 / $115.63 / $362.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.22 / $57.11 / $105.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.41 / $71.41 / $268.39