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Pennsylvania 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
$75.34 / $154.76 / $353.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.37 / $78.45 / $416.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.27 / $58.27 / $132.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.40 / $99.00 / $148.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.47 / $83.14 / $118.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.53 / $99.68 / $151.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $99.76 / $213.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.80 / $220.80 / $464.51
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.90 / $90.08 / $90.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.36 / $149.21 / $353.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $96.99 / $399.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $77.72 / $136.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.47 / $83.14 / $116.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.40 / $99.60 / $148.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.04 / $73.04 / $87.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.86 / $73.04 / $87.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.92 / $85.10 / $142.72