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Indiana 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
$30.46 / $34.72 / $59.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.12 / $113.03 / $187.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.75 / $32.09 / $68.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.62 / $74.51 / $125.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.73 / $106.04 / $142.02
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.14 / $26.16 / $45.38
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.82 / $80.54 / $227.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.65 / $123.73 / $159.79
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.65 / $41.53 / $52.90
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.34 / $71.81 / $105.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.14 / $74.09 / $119.44
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
$97.00 / $136.13 / $219.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.89 / $43.56 / $71.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.23 / $84.22 / $149.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.80 / $113.32 / $194.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.73 / $35.89 / $62.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.50 / $78.88 / $131.96