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Illinois 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)

Facilitymedian $151 · 10th–90th $78–$2510%20%10th90th$151Professionalmedian $234 · 10th–90th $126–$5500%5%10%10th90th$234$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $151.36 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $257.04 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $194.98 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $199.53 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $257.04 / $380.19
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $363.08 / $851.14
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $177.83 / $446.68
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $229.09 / $245.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $229.09 / $363.08