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Michigan 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
$39.07 / $39.07 / $49.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.54 / $125.82 / $349.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.75 / $39.07 / $122.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.59 / $94.28 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.15 / $94.94 / $104.51
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.20 / $41.64 / $63.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $129.01 / $187.64
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.66 / $51.66 / $51.66
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.57 / $115.57 / $115.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.79 / $83.23 / $127.86
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
$89.09 / $132.65 / $285.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.09 / $39.60 / $92.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.99 / $87.84 / $209.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.53 / $39.07 / $43.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.04 / $120.64 / $236.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.53 / $39.07 / $96.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.51 / $83.48 / $158.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.56 / $79.45 / $123.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.15 / $120.67 / $174.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.05 / $38.07 / $73.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.61 / $84.19 / $117.69