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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.17 / $81.75 / $266.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $68.01 / $189.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $44.20 / $54.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.50 / $64.06 / $73.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.82 / $77.09 / $126.48
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.20 / $65.20 / $65.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $42.30 / $82.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $40.68 / $69.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.08 / $72.01 / $72.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.25 / $83.70 / $145.78
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.96 / $87.40 / $522.67
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.55 / $80.12 / $145.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $48.49 / $88.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $73.09 / $111.76