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Delaware rates for HCPCS 76815

Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $35.48 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $114.82 / $229.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $47.86 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $54.95 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $97.72 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $36.31 / $56.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $64.57 / $95.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $134.90
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $28.84 / $39.81
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $61.66 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $162.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $34.67 / $54.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $61.66 / $107.15