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Michigan 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
$107.15 / $107.15 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $338.84 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $158.49 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $190.55 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $89.13 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $263.03 / $281.84
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $141.25 / $141.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $223.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.88 / $102.33 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $114.82 / $257.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.15 / $112.20 / $213.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $239.88 / $724.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $114.82 / $275.42
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.88 / $102.33 / $144.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $199.53 / $407.38
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $102.33 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $288.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $100.00 / $141.25