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Arizona rates for HCPCS 76805

Us Preg Uterus After 1st Trimest 1/1st Gestation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.00 / $91.57 / $175.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.55 / $194.53 / $616.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.60 / $63.59 / $205.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.67 / $99.56 / $214.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.09 / $117.16 / $159.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.09 / $40.02 / $63.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.68 / $61.68 / $120.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.86 / $122.88 / $171.23
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.11 / $37.47 / $49.36
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.63 / $78.18 / $97.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.96 / $53.96 / $53.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.04 / $168.62 / $267.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.04 / $55.79 / $93.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.00 / $108.76 / $178.56
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.45 / $213.45 / $213.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.26 / $157.16 / $872.98
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.78 / $51.28 / $298.50
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.48 / $104.16 / $574.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.82 / $145.35 / $244.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.41 / $50.89 / $82.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.48 / $95.94 / $159.60