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New York 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
$38.42 / $58.51 / $155.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.81 / $162.11 / $581.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.42 / $54.54 / $183.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.39 / $99.56 / $210.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.23 / $105.07 / $127.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.08 / $36.29 / $67.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.38 / $150.10 / $350.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.94 / $50.91 / $108.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $100.72 / $227.82
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $128.81 / $197.47
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
$116.84 / $204.76 / $470.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.51 / $68.52 / $146.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.73 / $130.27 / $337.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.79 / $172.86 / $274.14
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.20 / $61.08 / $98.19
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.59 / $115.97 / $250.35
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.35 / $160.22 / $286.25
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.97 / $62.49 / $100.59
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.56 / $109.12 / $185.66
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.61 / $55.64 / $109.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.76 / $174.46 / $321.39
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.56 / $57.19 / $115.32
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.70 / $99.70 / $100.25
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.96 / $53.96 / $53.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $198.94 / $429.96
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.76 / $67.43 / $138.12
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.48 / $120.56 / $287.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.10 / $141.63 / $324.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.90 / $49.66 / $118.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.81 / $91.66 / $213.54
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.20 / $55.20 / $160.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.31 / $181.52 / $354.95
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.90 / $63.78 / $127.23
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.41 / $117.73 / $233.72