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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
$66.56 / $296.17 / $296.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.55 / $78.45 / $218.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.67 / $376.61 / $418.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.16 / $104.48 / $146.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.91 / $488.91 / $488.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.35 / $142.63 / $229.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.47 / $134.30 / $251.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.90 / $101.72 / $183.65
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.73 / $74.08 / $108.89