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Alaska rates for HCPCS 76776

Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$112.39 / $112.39 / $112.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.34 / $188.61 / $438.85
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.57 / $40.60 / $133.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.76 / $148.01 / $315.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.41 / $241.76 / $468.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.71 / $68.81 / $134.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.32 / $165.26 / $334.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.40 / $425.04 / $837.90
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.53 / $103.83 / $238.92
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$267.68 / $321.20 / $598.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.50 / $635.10 / $894.00
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$133.75 / $155.15 / $216.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$412.50 / $479.95 / $678.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.24 / $456.37 / $882.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.23 / $162.00 / $243.62
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$237.14 / $498.00 / $774.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.74 / $468.15 / $780.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.96 / $107.26 / $214.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.82 / $337.99 / $567.92