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Arizona 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $87.10 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $89.13 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $46.77 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $46.77 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $104.71 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $83.18 / $128.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $79.43 / $181.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $41.69 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $70.79 / $104.71