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New Mexico 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
$125.89 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $102.33 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $123.03 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $112.20 / $162.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $295.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $281.84 / $407.38
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $117.49 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $213.80 / $371.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $100.00 / $190.55