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Alaska rates for HCPCS 76802

Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)

Facilitymedian $105 · 10th–90th $54$2950%5%10%10th90th$105Professionalmedian $79 · 10th–90th $49$2450%5%10%10th90th$79$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $537.03 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $67.61 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $104.71 / $208.93
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $104.71 / $275.42
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $173.78 / $281.84
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $257.04 / $398.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $93.33 / $186.21
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $112.20 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $165.96 / $354.81