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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)

Facilitymedian $74 · 10th–90th $29–$1170%10%10th90th$74Professionalmedian $83 · 10th–90th $51–$3550%10%10th90th$83$20.0$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
$58.88 / $87.10 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $85.11 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $46.77 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $61.66 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $104.71 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $81.28 / $128.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $79.43 / $141.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $77.62 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $43.65 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $125.89