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Washington, DC 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
$56.23 / $134.90 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $72.44 / $204.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $66.07 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $77.62 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $67.61 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $67.61 / $177.83