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New Mexico 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
$75.00 / $75.00 / $146.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.35 / $71.69 / $321.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.70 / $43.70 / $43.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.70 / $326.48 / $559.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.14 / $51.75 / $99.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.59 / $85.30 / $116.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $47.39 / $103.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $97.94 / $157.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $105.78 / $146.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $74.30 / $131.19