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Arizona rates for HCPCS 76814

Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; each additional gestation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.85 / $93.82 / $117.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.68 / $78.45 / $431.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.06 / $87.59 / $87.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.67 / $73.31 / $122.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.95 / $61.26 / $76.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.02 / $111.94 / $141.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.38 / $95.01 / $149.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.06 / $92.79 / $160.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $87.81 / $484.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $82.71 / $139.19