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Utah rates for HCPCS 76881

Ultrasound, complete joint (ie, joint space and peri-articular soft tissue structures) real-time with image documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $114.82 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $58.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.00 / $28.18 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $120.23 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $41.69 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.18 / $83.18 / $141.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $162.18 / $239.88
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $61.66 / $74.13
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.22 / $57.54 / $173.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $83.18 / $165.96
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $67.61 / $74.13
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.23 / $16.22 / $95.50
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $69.18 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $91.20 / $141.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $32.36 / $53.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.22 / $46.77 / $97.72