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Delaware 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
$44.69 / $44.69 / $85.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.79 / $114.90 / $294.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.42 / $120.32 / $213.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.63 / $123.63 / $274.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.44 / $128.71 / $271.52