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Wyoming 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
$45.41 / $46.29 / $213.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.18 / $162.11 / $169.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.90 / $48.23 / $100.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.31 / $106.43 / $174.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $573.00 / $573.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.00 / $198.00 / $198.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$228.00 / $375.00 / $375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.43 / $215.93 / $406.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.98 / $74.01 / $130.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.45 / $141.93 / $258.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.84 / $275.12 / $508.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.33 / $98.22 / $176.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.91 / $176.90 / $331.48