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New Jersey 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
$69.06 / $69.06 / $364.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.82 / $170.16 / $325.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.40 / $264.10 / $461.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.92 / $260.58 / $557.73
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.02 / $170.77 / $284.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.89 / $212.58 / $381.06