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Delaware 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
$22.35 / $30.66 / $57.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.34 / $73.73 / $249.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.92 / $19.82 / $50.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.74 / $56.82 / $70.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $69.52 / $110.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $20.99 / $41.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.40 / $43.19 / $88.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.68 / $50.65 / $114.13
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.69 / $23.63 / $242.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.72 / $88.72 / $122.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.97 / $22.40 / $55.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.34 / $54.32 / $99.00