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Indiana 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
$28.88 / $32.92 / $55.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.78 / $93.45 / $168.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.64 / $32.07 / $66.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.72 / $52.36 / $86.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.34 / $82.04 / $109.88
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.92 / $32.95 / $42.98
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.33 / $47.45 / $66.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.28 / $94.10 / $145.85
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.25 / $42.90 / $59.45
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.59 / $51.20 / $79.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $53.20 / $92.66
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.11 / $35.11 / $35.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.69 / $109.39 / $184.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.04 / $40.90 / $68.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.29 / $66.93 / $116.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.95 / $87.95 / $150.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.22 / $33.77 / $58.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $54.56 / $93.23