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Ohio 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
$34.49 / $48.28 / $124.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.69 / $142.66 / $460.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.32 / $55.35 / $126.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.83 / $64.31 / $110.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.67 / $72.33 / $121.47
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.47 / $35.20 / $51.94
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.89 / $39.86 / $53.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.55 / $108.42 / $174.68
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.57 / $43.47 / $69.73
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.98 / $62.37 / $103.72
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.69 / $108.36 / $152.53
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.86 / $43.56 / $61.32
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.82 / $64.79 / $91.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $64.79 / $113.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.35 / $119.77 / $197.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.79 / $47.43 / $75.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.87 / $73.61 / $121.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.19 / $118.03 / $196.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.45 / $52.45 / $96.34
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.87 / $73.61 / $121.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $81.81 / $132.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.98 / $105.42 / $164.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.57 / $43.48 / $76.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.60 / $64.61 / $102.83