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Oregon 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
$46.77 / $74.13 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $177.83 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $223.87 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $309.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $72.44 / $87.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $223.87 / $338.84
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $67.61 / $70.79
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $239.88 / $331.13
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$776.25 / $776.25 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $131.83 / $316.23