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Colorado 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
$86.73 / $86.73 / $110.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $196.23 / $383.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.30 / $279.83 / $402.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.73 / $96.73 / $96.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.59 / $219.43 / $441.72
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.69 / $351.69 / $371.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.63 / $292.75 / $418.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.26 / $127.22 / $181.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.05 / $303.69 / $437.26