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Vermont 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
Professional
Modifier
Low / Median / High Price
$133.50 / $156.85 / $917.00
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$511.41 / $511.41 / $511.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.52 / $269.38 / $818.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.55 / $286.20 / $818.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.49 / $281.20 / $818.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.80 / $232.69 / $447.11