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North Dakota 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
$49.96 / $49.96 / $80.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.60 / $143.01 / $224.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.60 / $49.64 / $130.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.13 / $99.56 / $368.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.33 / $326.20 / $342.09
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.71 / $114.41 / $119.58
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.62 / $211.78 / $222.10
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
$144.49 / $237.00 / $353.62
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.68 / $88.18 / $121.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.57 / $157.24 / $232.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.29 / $259.94 / $872.98
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.65 / $98.98 / $262.19
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.94 / $178.35 / $574.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.29 / $245.50 / $319.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.18 / $84.93 / $117.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.66 / $156.56 / $202.81