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Ohio 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
$45.55 / $68.31 / $165.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $194.53 / $440.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.09 / $66.18 / $167.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.84 / $99.56 / $171.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.06 / $123.98 / $182.31
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.19 / $45.45 / $62.38
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.35 / $65.44 / $115.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.35 / $155.43 / $236.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.38 / $60.33 / $97.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.97 / $90.71 / $152.83
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.71 / $143.43 / $186.46
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.02 / $52.58 / $68.34
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.69 / $90.85 / $118.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.02 / $100.09 / $166.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.06 / $173.09 / $283.61
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.37 / $63.10 / $98.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.16 / $111.54 / $187.77
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.12 / $170.17 / $273.70
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.85 / $64.79 / $124.76
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.20 / $111.54 / $187.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $116.67 / $184.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.04 / $155.22 / $243.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.71 / $55.32 / $89.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.40 / $96.24 / $152.57