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Utah 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
$76.70 / $76.70 / $330.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.40 / $76.70 / $279.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $88.38 / $128.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $37.11 / $66.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $115.29 / $137.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $66.04 / $114.62