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South Dakota 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
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $177.83 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.15 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $194.98 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $275.42 / $275.42
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $138.04 / $138.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $194.98 / $229.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $93.33 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $269.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $239.88 / $239.88