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Colorado rates for HCPCS 76857

Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.12 / $25.27 / $36.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $73.73 / $148.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.92 / $24.12 / $68.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.74 / $43.08 / $70.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.05 / $73.70 / $113.35
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.06 / $33.20 / $48.12
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.80 / $39.31 / $63.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.65 / $26.65 / $26.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $82.65 / $148.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.57 / $25.42 / $51.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.11 / $43.41 / $98.09
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.76 / $92.76 / $97.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.68 / $77.22 / $110.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.71 / $35.36 / $50.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.97 / $41.86 / $59.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.06 / $92.45 / $143.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.84 / $36.63 / $54.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.88 / $44.81 / $87.13