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Oklahoma 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
$37.97 / $47.62 / $73.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.09 / $98.93 / $158.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.52 / $39.04 / $61.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.57 / $59.89 / $93.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.16 / $114.30 / $179.83
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.04 / $37.18 / $80.26
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $81.28 / $113.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $113.75 / $156.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.97 / $44.97 / $73.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.20 / $109.96 / $176.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.19 / $46.67 / $71.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.44 / $64.22 / $106.78
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$111.13 / $211.96 / $211.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $145.08 / $757.96
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.27 / $53.74 / $312.14
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.05 / $93.50 / $470.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.83 / $130.74 / $191.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.26 / $51.28 / $76.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.10 / $77.30 / $118.14