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Washington 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
$37.15 / $46.77 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $151.36 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $53.70 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $95.50 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $125.89 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $52.48 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $144.54 / $169.82
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
$107.15 / $181.97 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $54.95 / $95.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $125.89 / $234.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.02 / $63.10 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $208.93 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $61.66 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $147.91 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.48 / $64.57 / $66.07
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $57.54 / $67.61
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $128.82 / $173.78
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $43.65 / $44.67
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $234.42 / $302.00
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $72.44 / $97.72
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $165.96 / $218.78
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $213.80 / $295.12
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $66.07 / $89.13
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $151.36 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $275.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $36.31 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $87.10 / $190.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $125.89 / $208.93
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $38.02 / $63.10
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $87.10 / $144.54