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New York 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
$70.56 / $114.46 / $228.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $194.87 / $515.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.04 / $208.68 / $410.73
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.34 / $157.83 / $281.17
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
$157.27 / $284.45 / $614.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.33 / $238.37 / $388.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.41 / $226.67 / $406.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.86 / $227.86 / $463.07
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.73 / $96.73 / $96.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.27 / $275.66 / $592.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.30 / $202.46 / $435.69
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.25 / $99.25 / $294.74
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.29 / $257.60 / $503.72