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Wyoming 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
$35.48 / $35.48 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $147.91 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $61.66 / $89.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $70.79 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $363.08 / $363.08
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $141.25 / $141.25
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $162.18 / $281.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $63.10 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $91.20 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $169.82 / $338.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $67.61 / $120.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $104.71 / $213.80