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Texas 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
$30.34 / $39.25 / $61.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.32 / $144.69 / $547.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.10 / $45.13 / $178.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.34 / $84.67 / $163.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.49 / $130.00 / $206.21
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.07 / $45.89 / $84.92
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.84 / $77.08 / $142.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.46 / $95.56 / $138.44
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.74 / $170.07 / $243.01
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.40 / $47.69 / $101.27
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
$108.24 / $144.49 / $271.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.58 / $50.55 / $94.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.37 / $92.01 / $177.97
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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.86 / $192.54 / $283.73
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.50 / $68.42 / $182.44
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.02 / $126.63 / $337.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.62 / $91.74 / $215.31
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.96 / $53.96 / $53.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.07 / $149.62 / $311.85
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.76 / $48.62 / $89.95
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.37 / $89.98 / $172.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.08 / $151.50 / $227.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.54 / $51.28 / $81.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.97 / $97.36 / $146.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.98 / $124.62 / $176.61
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.93 / $44.85 / $62.79
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.05 / $79.77 / $114.66