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Michigan 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
$42.66 / $43.65 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $39.81 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $120.23 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $64.57 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $218.78 / $234.42
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $57.54 / $77.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.71 / $40.74 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $181.97 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $42.66 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $138.04 / $323.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.69 / $48.98 / $85.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $165.96 / $331.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $40.74 / $102.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $125.89 / $234.42
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.71 / $40.74 / $58.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $331.13
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $38.90 / $79.43
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $114.82 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $223.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $39.81 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $120.23 / $165.96