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Georgia rates for HCPCS 76805

Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.74 / $89.13 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $223.87 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $79.43 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $100.00 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $117.49 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $50.12 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $74.13 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $66.07 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $117.49 / $181.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $93.33 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $323.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $69.18 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $125.89 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $165.96 / $436.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $57.54 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $109.65 / $338.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $120.23 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $173.78 / $302.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $60.26 / $104.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $109.65 / $194.98