go back

Wyoming 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
$80.98 / $80.98 / $82.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $160.79 / $245.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.00 / $807.00 / $807.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.09 / $305.41 / $584.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.56 / $390.75 / $691.59