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Massachusetts 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
$50.12 / $218.78 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $97.72 / $354.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $154.88 / $537.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $87.10 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $48.98 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $125.89 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $131.83 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $93.33 / $177.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $56.23 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $61.66 / $120.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $100.00 / $162.18
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $53.70 / $602.56
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $74.13 / $190.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $154.88 / $537.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $87.10 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $66.07 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $165.96