go back

Florida 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
$56.48 / $88.13 / $291.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.20 / $162.43 / $327.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.50 / $212.26 / $289.92
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.73 / $96.73 / $269.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.47 / $196.41 / $398.05
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.98 / $99.98 / $99.98
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.81 / $188.23 / $275.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.87 / $129.55 / $256.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.15 / $167.51 / $288.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.55 / $123.55 / $123.55