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Arizona rates for HCPCS 76856

Ultrasound, pelvic (nonobstetric), real time with image documentation; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.82 / $62.99 / $114.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $132.12 / $552.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.75 / $45.13 / $138.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.51 / $95.77 / $430.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.59 / $82.61 / $104.36
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.24 / $31.03 / $60.19
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.06 / $53.06 / $53.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.01 / $94.16 / $113.45
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.32 / $25.78 / $33.97
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.74 / $64.98 / $81.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.07 / $37.07 / $37.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.79 / $132.97 / $213.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.79 / $39.40 / $62.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.99 / $91.22 / $148.31
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$171.00 / $171.00 / $171.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.17 / $125.48 / $687.27
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.21 / $36.28 / $254.27
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.55 / $89.20 / $479.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.83 / $120.10 / $204.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.26 / $35.09 / $63.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.55 / $85.12 / $140.30