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Delaware rates for HCPCS 76801

Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.06 / $61.30 / $115.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.07 / $117.46 / $361.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.60 / $45.06 / $111.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.04 / $74.87 / $93.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.82 / $137.32 / $214.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.63 / $50.59 / $83.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.81 / $86.19 / $130.41
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.25 / $112.46 / $312.66
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.35 / $42.35 / $59.04
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.30 / $47.30 / $73.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.27 / $145.58 / $273.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.26 / $56.33 / $111.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.94 / $95.70 / $165.37