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Kentucky 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
$27.28 / $40.01 / $54.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.78 / $118.55 / $472.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.64 / $47.73 / $162.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.86 / $57.91 / $95.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.60 / $78.77 / $106.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.92 / $31.74 / $40.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.41 / $86.37 / $129.77
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.98 / $35.27 / $50.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.42 / $51.08 / $83.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.59 / $49.05 / $96.23
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
$73.65 / $110.77 / $172.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.26 / $43.05 / $68.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.53 / $68.47 / $108.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $92.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.95 / $92.39 / $121.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.73 / $33.52 / $47.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.23 / $53.61 / $77.37