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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
$53.70 / $107.15 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $97.72 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $120.23 / $186.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $89.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $165.96 / $199.53
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $134.90 / $199.53
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $97.72 / $165.96