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Massachusetts 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
$28.18 / $36.31 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $186.21 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $75.86 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $74.13 / $223.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.81 / $89.13 / $229.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $125.89 / $602.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $48.98 / $239.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $83.18 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $186.21 / $269.15
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $67.61 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $141.25 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $52.48 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $91.20 / $173.78
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $93.33 / $190.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $158.49 / $263.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $60.26 / $97.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $100.00 / $158.49
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $104.71 / $204.17
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.81 / $89.13 / $229.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $125.89 / $602.56
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $47.86 / $239.88
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $81.28 / $371.54
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $81.28 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $128.82 / $263.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $48.98 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $85.11 / $162.18