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Minnesota 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
$63.10 / $63.10 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $70.79 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $575.44 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $229.09 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $114.82 / $186.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $218.78 / $426.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $141.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $123.03 / $245.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $120.23 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $109.65 / $186.21