go back

West Virginia 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
$88.23 / $97.05 / $97.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.44 / $350.87 / $374.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.76 / $187.97 / $195.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.54 / $172.37 / $366.05
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
$143.96 / $236.83 / $502.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.95 / $123.15 / $290.31
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.62 / $277.30 / $303.08
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.28 / $159.72 / $236.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.43 / $233.08 / $398.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.14 / $93.54 / $177.99