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Oklahoma 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
$29.17 / $35.00 / $55.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.26 / $78.37 / $124.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.81 / $30.02 / $46.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.45 / $48.35 / $70.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.44 / $98.16 / $151.75
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.32 / $27.31 / $57.30
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.26 / $91.26 / $91.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $89.95 / $123.51
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.61 / $33.61 / $55.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $87.12 / $138.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.77 / $35.11 / $54.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.22 / $50.80 / $84.37
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.15 / $163.00 / $163.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.89 / $110.06 / $600.27
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.28 / $40.86 / $233.19
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.49 / $71.29 / $372.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $102.31 / $154.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.51 / $38.77 / $58.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.35 / $62.15 / $94.05