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Arizona 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
$50.41 / $112.27 / $152.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.68 / $153.15 / $592.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.98 / $37.70 / $173.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.78 / $118.59 / $262.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.55 / $154.55 / $154.55
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.70 / $81.70 / $81.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $127.58 / $159.47
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.31 / $28.42 / $35.52
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.37 / $99.16 / $123.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.92 / $40.92 / $40.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.34 / $169.50 / $291.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.37 / $43.49 / $69.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.97 / $126.16 / $220.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.74 / $161.97 / $161.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $159.16 / $968.58
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.26 / $40.03 / $227.63
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.04 / $119.82 / $740.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.24 / $159.16 / $262.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.97 / $39.34 / $64.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.04 / $119.82 / $182.83