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Missouri rates for HCPCS 76856

Us Pelvic Nonobstetric Real-Time Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.73 / $38.97 / $63.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.12 / $138.41 / $635.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.89 / $45.30 / $135.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.24 / $92.96 / $431.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.31 / $83.33 / $146.26
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.17 / $31.44 / $51.51
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.21 / $99.94 / $117.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.75 / $123.73 / $210.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.07 / $42.06 / $67.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.67 / $82.53 / $146.97
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
$84.31 / $131.47 / $232.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.60 / $42.57 / $79.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.70 / $87.84 / $160.41
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.02 / $171.00 / $171.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.53 / $136.91 / $687.27
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.96 / $43.28 / $254.27
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.73 / $93.99 / $479.00
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.89 / $178.89 / $178.89
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.90 / $55.90 / $59.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.10 / $120.54 / $220.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.51 / $38.51 / $74.41
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.44 / $84.16 / $139.09