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Wyoming 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
$32.89 / $32.89 / $33.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.94 / $142.13 / $146.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.00 / $491.00 / $491.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.85 / $185.46 / $337.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.05 / $234.03 / $421.21