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Arizona rates for HCPCS 76831

Saline infusion sonohysterography (SIS), including color flow Doppler, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.17 / $105.01 / $140.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.59 / $129.83 / $608.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.04 / $86.63 / $108.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.27 / $99.02 / $123.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.29 / $39.29 / $39.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.76 / $138.38 / $232.34
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.20 / $154.38 / $154.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.38 / $125.48 / $756.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.38 / $121.26 / $198.60