go back

Rhode Island rates for HCPCS 76805

Us Preg Uterus After 1st Trimest 1/1st Gestation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$301.19 / $301.19 / $301.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.61 / $155.36 / $773.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.65 / $47.50 / $183.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.95 / $96.81 / $163.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.68 / $167.86 / $295.88
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.85 / $58.36 / $93.27
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.64 / $109.49 / $109.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.16 / $195.98 / $285.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.73 / $69.17 / $100.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.61 / $133.46 / $184.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.07 / $157.96 / $255.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.31 / $62.86 / $89.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.72 / $115.36 / $167.35