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Idaho 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
$68.26 / $119.49 / $122.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.21 / $224.11 / $581.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.60 / $73.40 / $178.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.30 / $102.67 / $189.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.77 / $206.26 / $269.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.97 / $73.61 / $94.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.61 / $131.94 / $169.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.49 / $393.49 / $509.57
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$184.55 / $184.55 / $230.67
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.82 / $162.82 / $325.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.55 / $234.05 / $288.67
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.26 / $82.10 / $91.22
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.29 / $147.74 / $168.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $85.37 / $234.29
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $211.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.98 / $278.80 / $320.48
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.52 / $95.90 / $115.97
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.47 / $182.90 / $204.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.55 / $152.49 / $282.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.33 / $51.56 / $96.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.66 / $104.16 / $192.79