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Wisconsin 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)

Facilitymedian $200 · 10th–90th $129–$4470%10%20%10th90th$200Professionalmedian $288 · 10th–90th $162–$8710%5%10%10th90th$288$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $281.84 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $288.40 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $263.03 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $549.54 / $794.33
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $398.11 / $537.03
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $363.08 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $263.03
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $616.60
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $457.09 / $831.76
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $537.03 / $537.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $977.24 / $1,230.27
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $741.31 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $269.15 / $851.14