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New Hampshire 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
$126.82 / $315.41 / $315.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $161.32 / $428.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.56 / $444.56 / $444.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.40 / $269.27 / $377.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.45 / $351.93 / $591.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.96 / $349.58 / $648.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.71 / $249.72 / $465.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.87 / $184.73 / $278.48