go back

Arizona rates for HCPCS 76965

Ultrasonic guidance for interstitial radioelement application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.92 / $222.37 / $277.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.45 / $114.67 / $186.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.65 / $70.45 / $253.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.17 / $78.89 / $98.61
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.31 / $53.74 / $67.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.06 / $132.69 / $249.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $75.48 / $116.18
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.69 / $305.79 / $305.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.06 / $115.82 / $1,748.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.37 / $70.43 / $496.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $103.47 / $214.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.37 / $69.65 / $110.01