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Oklahoma 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 / $83.94 / $487.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $150.26 / $223.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.30 / $293.30 / $293.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.70 / $186.55 / $256.16
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.31 / $79.31 / $134.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $177.32 / $282.95
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$200.27 / $379.97 / $379.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.14 / $212.58 / $1,243.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.09 / $204.29 / $302.98