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Tennessee 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
$40.67 / $65.93 / $76.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.66 / $144.69 / $386.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.67 / $47.68 / $172.85
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.98 / $87.95 / $150.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.29 / $103.12 / $216.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.99 / $48.71 / $89.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.33 / $94.56 / $129.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.28 / $183.02 / $277.37
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.92 / $65.56 / $102.03
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.53 / $117.81 / $188.13
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
$113.76 / $161.44 / $270.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.19 / $61.13 / $100.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.45 / $103.22 / $179.59
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$111.76 / $232.47 / $232.47
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.98 / $872.98 / $1,120.05
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$298.50 / $298.50 / $379.35
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$574.48 / $574.48 / $740.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.30 / $154.55 / $264.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.81 / $57.65 / $97.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.09 / $98.51 / $171.13