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Michigan 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 $102 · 10th–90th $100–$1260%50%10th90th$102Professionalmedian $251 · 10th–90th $151–$8710%10%10th90th$251$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
$100.00 / $102.33 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $234.42 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $281.84 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $234.42 / $512.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $104.71 / $199.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $223.87 / $489.78
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $213.80 / $331.13