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Indiana 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
$56.07 / $350.00 / $660.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.58 / $62.14 / $96.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.18 / $77.06 / $102.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.11 / $350.00 / $350.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.82 / $65.09 / $100.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.19 / $45.70 / $75.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $41.95 / $68.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.18 / $350.00 / $350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $85.36 / $147.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.05 / $69.80 / $122.50