go back

Oklahoma 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
$27.98 / $59.70 / $106.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.98 / $70.68 / $86.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.39 / $261.06 / $378.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $74.55 / $105.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.33 / $60.07 / $108.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $71.28 / $109.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.70 / $95.82 / $275.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.04 / $92.13 / $484.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $85.29 / $123.56