go back

Pennsylvania 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 / $58.88 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $162.18 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $46.77 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $95.50 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $83.18 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $29.51 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $58.88 / $107.15
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $194.98 / $208.93
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $43.65 / $81.28
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $104.71 / $134.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $37.15 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $128.82 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $40.74 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $87.10 / $147.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $177.83
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $43.65 / $52.48
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $100.00 / $125.89
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $128.82 / $213.80
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $42.66 / $66.07
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $87.10 / $147.91
Highmark BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.04 / $138.04 / $138.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $125.89 / $162.18
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $38.90 / $61.66
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $109.65 / $131.83
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $69.18 / $91.20
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $35.48 / $52.48
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $48.98 / $112.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $144.54 / $309.03
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $44.67 / $100.00
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $95.50 / $186.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $131.83 / $257.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.36 / $32.36 / $60.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $63.10 / $275.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $32.36 / $60.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $69.18 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $112.20 / $181.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $35.48 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $77.62 / $128.82