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Pennsylvania rates for HCPCS 76882

Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.42 / $43.65 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $67.61 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $44.67 / $117.49
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$36.31 / $69.18 / $263.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$9.12 / $29.51 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $51.29 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $30.90 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$79.43 / $79.43 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $29.51 / $64.57
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $66.07 / $91.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $33.88 / $54.95
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.38 / $31.62 / $51.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $37.15 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $50.12 / $97.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $28.84 / $50.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$9.77 / $17.38 / $51.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $107.15
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $42.66 / $52.48
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $43.65 / $54.95
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $66.07 / $104.71
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $34.67 / $53.70
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7.76 / $29.51 / $51.29
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $77.62 / $89.13
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $37.15 / $53.70
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.13 / $77.62 / $95.50
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.02 / $54.95 / $57.54
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $39.81 / $47.86
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.42 / $40.74 / $83.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $66.07 / $169.82
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $38.90 / $89.13
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$16.98 / $70.79 / $549.54
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$9.55 / $30.20 / $69.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $64.57 / $117.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $18.62 / $32.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $41.69 / $87.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $32.36 / $32.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.71 / $9.12 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $54.95 / $87.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $25.12 / $42.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.00 / $30.20 / $50.12