go back

New Hampshire 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
$263.03 / $263.03 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $72.44 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $338.84 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $112.20 / $177.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $102.33 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $87.10 / $162.18