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Illinois 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
$29.51 / $40.74 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $158.49 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $52.48 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $91.20 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $81.28 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $30.90 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $51.29 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $112.20 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $141.25 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $44.67 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $97.72 / $158.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $190.55 / $512.86
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $58.88 / $309.03
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $114.82 / $295.12
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $125.89 / $138.04
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $40.74 / $42.66
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $87.10 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $128.82 / $190.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $38.90 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $91.20 / $131.83