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New Jersey 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
$48.98 / $64.57 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $223.87 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $79.43 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $104.71 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $117.49 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $46.77 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $79.43 / $117.49
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $158.49 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $181.97 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $61.66 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $114.82 / $199.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $165.96 / $229.09
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $56.23 / $77.62
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $112.20 / $154.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $141.25 / $275.42
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $47.86 / $102.33
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $95.50 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $263.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $51.29 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $95.50 / $173.78