go back

Utah rates for HCPCS 76811

Us Preg Uterus W/Detail Fetal Anat 1st Gestation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.69 / $513.94 / $747.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.43 / $296.52 / $995.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.76 / $152.28 / $387.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.44 / $249.91 / $361.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.85 / $127.63 / $191.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.49 / $97.97 / $161.73
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$418.84 / $418.84 / $418.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.73 / $322.30 / $377.62
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.35 / $169.56 / $212.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.08 / $188.06 / $298.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.56 / $96.72 / $156.02