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New York 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
$48.98 / $91.20 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $83.18 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $63.10 / $134.90
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $57.54
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $57.54 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $123.03 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $93.33 / $218.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $30.20 / $79.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $120.23
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $87.10 / $138.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $72.44 / $72.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $53.70 / $53,703.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $87.10 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $64.57 / $138.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $48.98 / $208.93
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $81.28 / $173.78