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Tennessee 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
$43.63 / $51.79 / $96.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.78 / $62.34 / $139.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.18 / $81.50 / $111.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $85.88 / $135.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.18 / $70.20 / $110.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.18 / $82.88 / $136.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.05 / $539.87 / $539.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.87 / $480.87 / $489.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.94 / $72.34 / $121.79