go back

Pennsylvania rates for HCPCS 76800

Ultrasound, spinal canal and contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.54 / $112.20 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $177.83 / $691.83
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $173.78 / $263.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.14 / $70.79 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $275.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $245.47 / $295.12
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $194.98 / $338.84
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.54 / $107.15 / $190.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $181.97 / $398.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $257.04 / $346.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $58.88 / $61.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $151.36 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $144.54 / $239.88