go back

Texas 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
$41.69 / $239.88 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $70.79 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $58.88 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $58.88 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $72.44
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $75.86 / $131.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $120.23 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $72.44 / $134.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $537.03 / $537.03
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $489.78 / $489.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $81.28 / $158.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $77.62 / $169.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $33.11 / $52.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $58.88 / $144.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $87.10 / $162.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $69.18 / $109.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $60.26 / $72.44