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Arkansas rates for HCPCS 76812

Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.18 / $131.46 / $146.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $209.25 / $360.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.50 / $297.23 / $331.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.20 / $259.68 / $288.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.41 / $243.95 / $357.40
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.81 / $381.69 / $381.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.09 / $218.40 / $343.30