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Rhode Island 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
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $281.84 / $741.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $102.33 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $104.71 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $165.96 / $309.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $58.88 / $97.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $109.65 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $302.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $69.18 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $134.90 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $257.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $56.23 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $107.15 / $177.83