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Tennessee 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
$64.65 / $64.65 / $120.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.50 / $75.79 / $168.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.74 / $56.74 / $56.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.74 / $102.99 / $156.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.59 / $83.14 / $120.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.06 / $94.86 / $154.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.77 / $378.15 / $378.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.57 / $484.57 / $601.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $89.99 / $154.30