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Michigan rates for HCPCS 76813

Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.07 / $69.18 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $208.93 / $758.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $117.49 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $169.82 / $181.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $74.13 / $141.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.49 / $63.10 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $141.25 / $338.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.07 / $75.86 / $134.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $151.36 / $398.11
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.49 / $63.10 / $91.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $134.90 / $181.97