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Ohio 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
$45.25 / $63.34 / $164.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.88 / $178.05 / $506.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.79 / $64.98 / $168.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.28 / $79.34 / $137.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.99 / $105.87 / $164.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.40 / $45.15 / $70.81
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.65 / $92.45 / $92.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.70 / $148.46 / $233.02
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.87 / $59.98 / $94.75
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.83 / $82.16 / $141.34
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $137.66 / $162.44
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.23 / $57.54 / $67.90
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.72 / $80.12 / $94.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.69 / $80.12 / $144.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.89 / $153.54 / $243.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.37 / $62.39 / $99.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.01 / $91.14 / $148.10
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.89 / $150.19 / $241.12
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.10 / $66.51 / $123.96
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.02 / $91.14 / $150.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $82.15 / $132.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.61 / $135.13 / $213.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.26 / $55.27 / $89.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.90 / $80.02 / $122.56