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Utah 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
$21.88 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $61.66 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $33.88 / $109.65
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$9.12 / $28.18 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $63.10 / $95.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $32.36 / $51.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.96 / $26.30 / $53.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $33.11 / $61.66
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
$61.66 / $79.43 / $112.20
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $47.86 / $56.23
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $43.65 / $63.10
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $67.61 / $123.03
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $51.29 / $53.70
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.30 / $23.44 / $67.61
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $53.70 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $57.54 / $87.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $25.12 / $41.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.22 / $33.11 / $46.77