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Missouri 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
$31.30 / $65.28 / $351.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.46 / $68.01 / $352.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.27 / $102.27 / $102.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.00 / $363.00 / $413.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.67 / $74.63 / $132.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.72 / $67.18 / $136.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.52 / $83.94 / $136.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.14 / $92.10 / $201.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.32 / $84.35 / $480.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.10 / $73.13 / $135.37