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North Dakota 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
$89.47 / $89.47 / $145.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $172.36 / $301.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.87 / $460.08 / $482.49
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
$173.89 / $322.67 / $500.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.46 / $371.18 / $1,243.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.46 / $364.43 / $457.17