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Oklahoma 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
$21.44 / $85.12 / $1,472.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $57.17 / $74.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.24 / $49.24 / $102.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.39 / $261.06 / $378.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.28 / $59.85 / $82.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.33 / $63.04 / $115.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.26 / $60.48 / $93.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.67 / $86.36 / $215.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.82 / $81.58 / $480.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.62 / $127.62 / $143.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $68.48 / $104.16