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Alabama rates for HCPCS 76857

Us Pelvic Nonobstetric Image Dcmtn Limited/F/U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.60 / $31.26 / $42.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.92 / $61.57 / $73.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.61 / $22.04 / $32.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.97 / $30.30 / $56.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.20 / $56.10 / $78.59
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.30 / $25.96 / $28.65
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.81 / $29.81 / $29.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.88 / $91.00 / $107.38
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.71 / $27.00 / $31.86
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.44 / $64.00 / $75.52
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.48 / $21.48 / $21.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.69 / $64.79 / $151.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $24.81 / $66.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.70 / $34.47 / $115.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.58 / $46.97 / $110.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.82 / $22.74 / $30.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.13 / $23.57 / $83.91