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New Mexico 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
$100.00 / $100.00 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $83.18 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $346.74 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $52.48 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $93.33 / $134.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $97.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $104.71 / $173.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $117.49 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $91.20 / $158.49