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Utah 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
$106.72 / $106.72 / $312.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.48 / $106.72 / $491.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.31 / $126.05 / $186.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $38.52 / $98.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.88 / $165.01 / $196.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.80 / $98.15 / $154.22