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West Virginia rates for HCPCS 76857

Us Pelvic Nonobstetric Image Dcmtn Limited/F/U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.71 / $24.99 / $30.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.07 / $73.73 / $100.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.01 / $23.05 / $50.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.16 / $30.92 / $69.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.59 / $50.56 / $103.20
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
$40.58 / $69.00 / $159.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.13 / $30.25 / $73.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.72 / $34.81 / $131.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $90.79 / $131.16
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.57 / $39.28 / $62.44
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.22 / $46.36 / $48.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.84 / $82.63 / $160.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.71 / $23.28 / $38.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.78 / $61.07 / $131.11