go back

Rhode Island rates for HCPCS 76857

Us Pelvic Nonobstetric Image Dcmtn Limited/F/U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$149.56 / $149.56 / $149.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $82.35 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.92 / $19.18 / $97.28
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.48 / $56.82 / $64.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.13 / $62.50 / $192.62
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.29 / $28.98 / $36.29
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.47 / $33.53 / $33.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.77 / $88.53 / $115.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.82 / $34.01 / $50.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.66 / $42.26 / $83.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.44 / $69.84 / $98.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.42 / $28.20 / $44.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.18 / $40.54 / $73.87