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Louisiana rates for HCPCS 76811

Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$92.55 / $115.77 / $150.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.77 / $198.60 / $304.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.58 / $104.87 / $150.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.20 / $262.60 / $264.38
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.53 / $97.78 / $137.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.65 / $240.02 / $333.62
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.12 / $134.96 / $177.09
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.44 / $89.37 / $139.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.83 / $180.44 / $329.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.55 / $98.86 / $175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.61 / $189.20 / $320.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.70 / $97.23 / $154.76