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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
$39.00 / $39.01 / $124.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.64 / $138.56 / $263.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.42 / $45.99 / $106.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.39 / $89.64 / $163.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.29 / $118.93 / $226.72
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.22 / $44.85 / $77.98
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.22 / $125.22 / $125.22
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.42 / $174.23 / $351.71
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.70 / $55.70 / $55.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.61 / $187.47 / $320.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.20 / $63.27 / $106.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.03 / $120.34 / $197.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.10 / $185.84 / $399.59
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.33 / $62.26 / $337.59
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.77 / $123.56 / $337.59
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.61 / $133.01 / $205.28
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.65 / $47.80 / $139.52
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.69 / $94.83 / $159.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.33 / $154.19 / $264.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.96 / $53.63 / $90.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.34 / $103.66 / $178.35