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Iowa 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
$43.84 / $81.03 / $154.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.93 / $159.16 / $639.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.60 / $49.64 / $204.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.28 / $94.48 / $209.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$149.28 / $153.76 / $158.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.71 / $314.16 / $392.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.14 / $107.82 / $134.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.81 / $206.34 / $260.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.05 / $199.02 / $413.19
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.98 / $71.15 / $166.82
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.06 / $118.93 / $251.78
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$153.76 / $213.45 / $213.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.41 / $220.63 / $872.98
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.61 / $63.30 / $298.50
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.76 / $108.03 / $574.48
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$153.76 / $158.24 / $263.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.63 / $286.07 / $411.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.43 / $113.79 / $224.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.57 / $157.88 / $303.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.61 / $58.33 / $107.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.96 / $101.46 / $190.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.26 / $238.30 / $280.39
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.04 / $83.60 / $98.30
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.21 / $154.69 / $182.00