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Tennessee 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
$78.18 / $78.18 / $496.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.83 / $188.54 / $509.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.72 / $86.59 / $169.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.83 / $239.67 / $300.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.66 / $92.48 / $171.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.85 / $239.11 / $360.55
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.48 / $124.32 / $192.24
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.92 / $102.92 / $102.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.91 / $233.20 / $384.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.76 / $116.22 / $194.82
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.26 / $442.37 / $442.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.47 / $1,466.63 / $1,511.77
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$605.95 / $625.94 / $713.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.68 / $204.72 / $361.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.05 / $111.58 / $186.94