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Florida rates for HCPCS 76857

Us Pelvic Nonobstetric Image Dcmtn Limited/F/U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.61 / $19.89 / $76.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.85 / $52.00 / $130.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.61 / $20.96 / $60.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.23 / $24.62 / $70.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.28 / $40.03 / $68.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.28 / $23.75 / $49.21
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.41 / $20.86 / $24.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.65 / $26.65 / $72.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.63 / $62.01 / $145.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.77 / $22.28 / $47.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.07 / $31.10 / $96.88
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.43 / $26.43 / $26.43
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.58 / $56.51 / $81.37
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.82 / $23.13 / $34.33
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.25 / $30.36 / $64.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $46.19 / $89.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.10 / $56.46 / $111.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.30 / $20.36 / $36.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.22 / $27.64 / $70.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.46 / $35.46 / $35.46
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.53 / $16.53 / $16.53
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.93 / $18.93 / $18.93