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Nebraska 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
$71.01 / $138.44 / $233.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $78.45 / $416.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.77 / $278.87 / $523.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $140.38 / $143.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.30 / $414.30 / $414.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.42 / $164.57 / $214.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $128.83 / $197.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.20 / $136.59 / $218.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.24 / $164.57 / $262.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $162.43 / $208.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.88 / $68.79 / $137.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.20 / $144.13 / $182.74