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Ohio 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)

Facilitymedian $83 · 10th–90th $56$2630%10%10th90th$83Professionalmedian $72 · 10th–90th $51$1620%10%20%10th90th$72$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $85.11 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $67.61 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $61.66 / $74.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $70.79 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $79.43 / $131.83
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $74.13 / $81.28
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $40.74 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $74.13 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $81.28 / $141.25
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $165.96 / $575.44
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $79.43 / $138.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $72.44 / $114.82