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Kentucky rates for HCPCS 76817

Ultrasound, pregnant uterus, real time with image documentation, transvaginal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.39 / $35.21 / $63.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.76 / $135.07 / $506.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.13 / $46.58 / $154.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.79 / $64.31 / $103.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.89 / $86.71 / $113.46
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.46 / $36.56 / $46.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.98 / $55.02 / $64.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.34 / $94.99 / $143.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.49 / $40.58 / $58.40
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.24 / $54.40 / $87.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $55.29 / $109.40
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.86 / $40.86 / $40.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.28 / $124.61 / $195.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.83 / $49.36 / $76.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.49 / $75.09 / $122.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $105.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $97.44 / $132.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $39.27 / $64.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.94 / $59.18 / $92.51