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New York 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
$29.03 / $41.12 / $97.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.41 / $131.72 / $481.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.04 / $49.11 / $135.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.71 / $64.31 / $154.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.77 / $72.01 / $106.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.91 / $27.36 / $52.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $103.75 / $244.48
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.13 / $38.76 / $82.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.69 / $64.34 / $147.25
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.37 / $83.45 / $135.82
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
$80.08 / $148.47 / $308.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.08 / $51.51 / $109.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.81 / $84.54 / $218.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.95 / $119.87 / $191.03
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.79 / $45.89 / $73.84
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.25 / $75.12 / $161.94
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.48 / $109.26 / $195.82
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.33 / $46.99 / $76.17
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.12 / $69.33 / $119.65
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.60 / $99.17 / $170.00
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.82 / $39.33 / $42.42
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.65 / $125.91 / $223.86
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.85 / $43.32 / $85.79
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.70 / $64.70 / $65.42
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.86 / $40.86 / $40.86
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $136.00 / $293.36
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.35 / $50.73 / $106.87
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.12 / $79.03 / $186.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.38 / $97.62 / $236.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.52 / $38.29 / $90.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.08 / $60.73 / $143.86
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.80 / $41.80 / $121.93
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.24 / $124.17 / $246.97
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.27 / $48.30 / $103.75
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.98 / $75.87 / $162.97