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Massachusetts 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
$37.15 / $64.57 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $269.15 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $102.33 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $114.82 / $331.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.48 / $117.49 / $295.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $186.21 / $870.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $66.07 / $295.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $128.82 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $281.84 / $398.11
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $91.20 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $204.17 / $407.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $69.18 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $141.25 / $269.15
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $138.04 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $239.88 / $363.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $77.62 / $125.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $158.49 / $245.47
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $213.80 / $457.09
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.48 / $117.49 / $295.12
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $186.21 / $870.96
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $63.10 / $295.12
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $125.89 / $575.44
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $380.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $66.07 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $125.89 / $251.19