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North Carolina 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
$76.87 / $93.54 / $146.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.56 / $229.79 / $497.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.50 / $262.47 / $416.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.98 / $228.98 / $228.98
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
$158.50 / $273.16 / $508.70
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.31 / $151.00 / $208.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $212.52 / $698.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $155.24 / $309.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.14 / $230.75 / $520.36
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$200.27 / $415.82 / $415.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.70 / $1,243.70 / $1,567.43