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Michigan 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
$53.70 / $74.13 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $87.10 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $51.29 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $89.13 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $102.33 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $81.28 / $177.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $74.13 / $245.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $74.13 / $177.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $102.33 / $138.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $45.71 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $72.44 / $100.00