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Missouri 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
$74.04 / $83.85 / $194.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.56 / $188.37 / $877.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.56 / $239.56 / $239.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.49 / $216.26 / $319.47
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.73 / $96.73 / $96.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.69 / $237.66 / $422.33
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$200.27 / $379.97 / $379.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.48 / $237.66 / $1,243.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.09 / $222.16 / $420.92