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Florida 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
$21.38 / $24.55 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $123.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $52.48 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $56.23 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $31.62 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $41.69 / $74.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.59 / $35.48 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $89.13 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $34.67 / $67.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $58.88 / $112.20
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.67 / $34.67 / $34.67
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $117.49
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $30.90 / $45.71
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $47.86 / $72.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $36.31 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $75.86 / $134.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $27.54 / $51.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $47.86 / $83.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $79.43
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $21.38 / $30.90
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $34.67 / $48.98