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Indiana 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
$68.83 / $143.38 / $350.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.30 / $71.69 / $92.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.74 / $56.74 / $56.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.11 / $350.00 / $350.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.08 / $85.10 / $121.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.82 / $54.59 / $93.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.52 / $52.40 / $84.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.14 / $350.00 / $350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.70 / $97.23 / $165.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $82.11 / $139.61