go back

Kansas 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
$97.61 / $105.14 / $194.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $188.37 / $245.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.69 / $136.69 / $291.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.33 / $270.33 / $270.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.40 / $243.08 / $344.72
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$200.27 / $200.27 / $379.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.44 / $228.57 / $1,243.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.44 / $211.81 / $344.18