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Indiana 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
$95.50 / $114.82 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $218.78 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $165.96 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $223.87 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $316.23