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Louisiana 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
$97.72 / $109.65 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $213.80 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $158.49 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $257.04 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $295.12