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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$50.12 / $104.71 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $144.54 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $74.13 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $91.20 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $79.43 / $120.23