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New Jersey 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
$56.23 / $199.53 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $79.43 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $46.77 / $57.54
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $69.18 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $79.43 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $87.10 / $144.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $72.44 / $100.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $251.19 / $10,471.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $66.07 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $87.10 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $70.79 / $120.23