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North Carolina 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
$42.54 / $52.62 / $80.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.11 / $224.11 / $503.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.54 / $72.63 / $183.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.56 / $99.56 / $194.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.82 / $183.87 / $267.27
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.19 / $62.72 / $88.83
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.41 / $128.72 / $148.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.70 / $125.70 / $125.70
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.29 / $103.16 / $140.59
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.92 / $183.25 / $252.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.96 / $53.96 / $53.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.50 / $197.19 / $359.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.73 / $71.79 / $129.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.18 / $126.72 / $227.45
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.29 / $97.00 / $132.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $173.00 / $487.01
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.29 / $97.00 / $173.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $118.46 / $218.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.17 / $175.47 / $343.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.91 / $59.41 / $125.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.17 / $110.66 / $223.61
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$111.76 / $232.47 / $232.47
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.98 / $872.98 / $1,120.05
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$298.50 / $298.50 / $379.35
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$574.48 / $574.48 / $740.70