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Virginia 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
$31.98 / $58.21 / $124.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.69 / $138.74 / $281.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.86 / $34.40 / $65.34
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.24 / $104.76 / $218.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.88 / $168.51 / $238.24
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.57 / $40.54 / $57.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.01 / $128.35 / $181.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.29 / $169.29 / $313.73
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.68 / $39.68 / $75.00
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.60 / $129.60 / $244.94
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
$115.90 / $172.25 / $354.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.71 / $44.22 / $82.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.27 / $129.55 / $266.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.41 / $173.79 / $215.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.22 / $40.94 / $50.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.21 / $133.99 / $167.36
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.87 / $57.80 / $112.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $166.00 / $263.76
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $169.13 / $307.08
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $50.44 / $80.79
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.10 / $153.35 / $248.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.94 / $166.11 / $270.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.37 / $42.98 / $61.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.14 / $117.07 / $208.34