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Pennsylvania 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
Facility
Modifier
Low / Median / High Price
$88.00 / $287.00 / $957.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.45 / $95.41 / $261.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.93 / $64.93 / $155.49
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.28 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.77 / $140.80 / $169.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.78 / $97.68 / $180.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.22 / $117.65 / $188.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.71 / $118.29 / $253.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.30 / $405.60 / $413.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.21 / $96.21 / $102.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $281.60 / $957.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.81 / $105.74 / $267.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.06 / $86.34 / $325.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.78 / $97.68 / $170.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.01 / $115.49 / $178.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.96 / $85.96 / $244.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.61 / $85.96 / $244.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.93 / $95.93 / $95.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.38 / $99.30 / $168.28