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Missouri 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
$65.44 / $86.81 / $267.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.43 / $78.45 / $436.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.00 / $363.00 / $413.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.95 / $93.07 / $149.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.67 / $83.14 / $110.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $97.37 / $165.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.91 / $106.89 / $186.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.09 / $93.61 / $484.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.37 / $88.13 / $146.32