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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
$87.11 / $108.49 / $140.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $214.12 / $313.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.24 / $278.24 / $278.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.79 / $257.47 / $362.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.14 / $183.25 / $339.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.60 / $199.10 / $315.26