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New Hampshire 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
$295.12 / $295.12 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $85.11 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $416.87 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $109.65 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $134.90 / $218.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $204.17