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Virginia 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
$32.02 / $56.99 / $124.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.40 / $98.39 / $183.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.02 / $35.21 / $73.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.15 / $56.82 / $107.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.43 / $107.35 / $150.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.57 / $40.74 / $57.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.86 / $66.51 / $92.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.04 / $107.04 / $327.36
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.17 / $40.17 / $75.92
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.88 / $66.88 / $126.40
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
$76.27 / $123.13 / $220.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.78 / $45.86 / $84.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.81 / $75.26 / $135.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.32 / $107.87 / $132.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.93 / $40.58 / $50.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.72 / $68.41 / $84.91
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.82 / $63.00 / $109.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $93.00 / $161.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.34 / $113.84 / $219.17
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.54 / $50.51 / $80.79
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.97 / $85.02 / $132.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $112.40 / $167.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.40 / $44.55 / $76.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.15 / $70.34 / $118.19