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South Carolina 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
$51.29 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $83.18 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $46.77 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $218.78 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $389.05 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $87.10 / $138.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $89.13 / $165.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $125.89