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California 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
$32.79 / $34.46 / $209.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.59 / $168.23 / $608.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.71 / $120.00 / $609.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.16 / $145.00 / $294.02
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.31 / $113.78 / $284.51
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
$102.28 / $154.06 / $348.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.52 / $148.01 / $199.81
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.90 / $38.47 / $51.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.87 / $150.05 / $269.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $47.84 / $80.50
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.20 / $154.38 / $168.77
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.60 / $756.60 / $954.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $75.89
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.29 / $39.29 / $39.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.64 / $164.97 / $338.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.08 / $398.08 / $398.08
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.28 / $151.66 / $184.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.54 / $121.26 / $333.48