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Ohio 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
$31.28 / $43.79 / $113.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.53 / $125.82 / $359.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.75 / $39.07 / $124.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.06 / $89.62 / $166.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.73 / $84.53 / $123.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.20 / $30.25 / $52.24
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.76 / $51.22 / $73.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.39 / $118.38 / $185.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.68 / $42.65 / $67.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.71 / $71.81 / $110.14
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.76 / $111.76 / $124.07
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.21 / $36.21 / $40.20
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.54 / $75.54 / $83.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.76 / $80.05 / $129.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.14 / $134.24 / $228.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.15 / $43.38 / $68.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.51 / $90.83 / $156.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.43 / $137.33 / $231.23
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.55 / $47.23 / $89.77
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.23 / $90.93 / $166.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $81.81 / $132.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.87 / $119.51 / $189.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.47 / $38.88 / $66.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.30 / $83.18 / $130.06