go back

Rhode Island 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
$169.82 / $169.82 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $128.82 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $165.96 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $91.20 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $107.15 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $144.54