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Montana 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
Professional
Modifier
Low / Median / High Price
$173.43 / $279.83 / $896.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.76 / $95.24 / $312.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.38 / $140.38 / $279.73
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.38 / $140.38 / $173.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.70 / $279.73 / $389.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.69 / $140.38 / $202.68
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.38 / $140.38 / $173.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.91 / $300.31 / $466.32
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.55 / $140.38 / $166.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.81 / $192.48 / $317.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $100.25 / $247.91