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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
$29.78 / $40.28 / $76.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.75 / $82.59 / $240.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.64 / $29.78 / $89.48
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.11 / $54.95 / $68.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $94.73 / $148.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.83 / $33.17 / $55.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.07 / $63.01 / $93.05
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.39 / $136.41 / $217.86
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.73 / $28.69 / $39.15
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.60 / $61.60 / $61.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.01 / $96.09 / $188.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.60 / $36.96 / $72.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.74 / $61.44 / $115.57