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Georgia 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
$30.90 / $79.43 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $173.78 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $102.33 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $144.54 / $229.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $81.28 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $158.49 / $269.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $141.25 / $363.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $42.66 / $134.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $112.20 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $257.04