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Pennsylvania 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
$35.18 / $53.63 / $104.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.18 / $144.44 / $381.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.50 / $36.21 / $131.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.04 / $108.88 / $207.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.61 / $36.94 / $59.22
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.12 / $187.10 / $279.29
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.90 / $47.90 / $70.78
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.20 / $139.19 / $208.52
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
$117.50 / $174.20 / $282.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.71 / $44.92 / $73.22
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.13 / $130.58 / $211.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.46 / $203.90 / $349.59
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.72 / $51.99 / $81.39
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.41 / $168.97 / $268.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.79 / $183.01 / $183.01
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.68 / $43.74 / $62.03
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.18 / $55.81 / $112.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.82 / $164.72 / $434.79
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.03 / $45.62 / $107.45
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.86 / $128.55 / $327.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.50 / $151.00 / $334.30
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.92 / $40.92 / $40.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.62 / $173.66 / $282.00
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.37 / $44.92 / $73.22
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.39 / $130.83 / $211.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.52 / $35.52 / $40.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $142.68 / $154.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.61 / $35.54 / $40.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.00 / $107.16 / $117.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.36 / $159.16 / $266.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.91 / $41.26 / $71.27
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.82 / $122.97 / $207.16