go back

Delaware 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
$82.03 / $84.71 / $109.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $160.11 / $291.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.94 / $197.07 / $351.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.48 / $440.88 / $455.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.31 / $197.12 / $445.06