go back

Missouri 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
$87.10 / $154.88 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $295.12 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $147.91 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $141.25 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $100.00 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $117.49 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $204.17 / $295.12
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $107.15 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $120.23 / $245.47
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.80 / $407.38 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $239.88 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $120.23 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $199.53 / $331.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $102.33 / $165.96