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Connecticut 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
$100.65 / $297.98 / $385.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.12 / $229.39 / $904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.93 / $237.98 / $335.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.61 / $292.45 / $478.83
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.91 / $227.73 / $281.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.81 / $134.86 / $289.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.86 / $265.19 / $480.25