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Wyoming 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
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $51.29 / $83.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $87.10 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $416.87 / $416.87
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $128.82 / $128.82
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $190.55 / $338.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $57.54 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $123.03 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $194.98 / $398.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $61.66 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $134.90 / $275.42