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Nevada 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
$22.54 / $23.48 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.10 / $82.35 / $419.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.01 / $31.42 / $98.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.62 / $56.82 / $139.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $38.69 / $73.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.48 / $18.07 / $49.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.08 / $52.31 / $91.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.10 / $21.90 / $25.02
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.17 / $28.05 / $64.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.69 / $79.34 / $128.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.68 / $25.03 / $43.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.04 / $45.69 / $102.40
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $73.31 / $114.55
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.19 / $25.91 / $39.76
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.52 / $38.29 / $71.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $48.37 / $76.37
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.19 / $23.55 / $35.33
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$0.27 / $27.36 / $42.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.34 / $64.52 / $121.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.83 / $25.26 / $41.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.92 / $30.15 / $105.24