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Maine 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
$173.78 / $489.78 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $70.79 / $162.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $177.83 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $85.11 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $93.33 / $138.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $93.33 / $173.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $489.78 / $616.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $85.11 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $158.49