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Vermont 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
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $112.20 / $316.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $81.28 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $91.20 / $194.98