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Rhode Island 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
$165.96 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $181.97 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $46.77 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $89.13 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $263.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $39.81 / $67.61
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $91.20 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $151.36 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $46.77 / $70.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $104.71 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $123.03 / $204.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $38.90 / $64.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $89.13 / $144.54