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North Carolina 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
$31.25 / $37.76 / $58.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.89 / $135.82 / $393.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $156.08 / $198.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.95 / $90.95 / $90.95
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
$102.50 / $165.09 / $305.27
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.58 / $60.00 / $96.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $138.00 / $420.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $158.40 / $289.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.44 / $137.21 / $302.06
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $168.77 / $168.77
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.60 / $756.60 / $954.53