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New Jersey 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
$39.32 / $48.42 / $123.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.51 / $129.34 / $279.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.32 / $46.28 / $104.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.60 / $74.87 / $126.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.89 / $108.01 / $196.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.14 / $45.15 / $79.09
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.39 / $100.39 / $100.39
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $171.85 / $352.44
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.70 / $76.16 / $124.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.54 / $164.89 / $284.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.93 / $62.94 / $106.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.39 / $98.61 / $167.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.29 / $160.78 / $345.28
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.94 / $61.79 / $132.94
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.36 / $98.99 / $212.35
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.05 / $119.10 / $178.62
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.65 / $47.80 / $134.56
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.57 / $74.39 / $126.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.66 / $128.62 / $235.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.36 / $53.44 / $90.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.04 / $86.67 / $144.41