go back

Utah 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
$88.61 / $88.61 / $204.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.11 / $86.30 / $431.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.24 / $107.86 / $159.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $37.72 / $66.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.55 / $140.35 / $170.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.11 / $81.20 / $132.19