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Nebraska 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
$48.21 / $63.89 / $175.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.19 / $68.01 / $352.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.77 / $278.87 / $523.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.89 / $113.26 / $116.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.00 / $182.00 / $334.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.54 / $134.00 / $173.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.31 / $105.18 / $176.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.27 / $115.08 / $480.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.74 / $138.00 / $223.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.74 / $134.00 / $166.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $56.89 / $111.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.53 / $115.08 / $146.93