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Idaho 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
$68.26 / $118.71 / $119.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.67 / $221.64 / $613.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.60 / $72.81 / $193.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.48 / $87.44 / $159.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.25 / $179.82 / $230.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.64 / $73.09 / $94.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.61 / $105.50 / $135.51
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.64 / $264.64 / $293.83
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$228.61 / $228.61 / $241.32
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.33 / $23.33 / $65.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.27 / $203.20 / $254.38
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.73 / $79.26 / $90.58
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.58 / $118.30 / $135.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $84.81 / $204.22
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $211.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.95 / $241.12 / $279.35
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.94 / $95.22 / $115.20
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.02 / $145.91 / $164.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.51 / $149.41 / $243.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.34 / $51.20 / $95.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.62 / $83.39 / $154.35