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Maine rates for HCPCS 76810

Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $96.12 / $142.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.23 / $290.39 / $476.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.82 / $120.13 / $166.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.95 / $134.62 / $196.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.76 / $123.52 / $189.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $103.98 / $163.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.70 / $129.47 / $178.52