go back

Massachusetts rates for HCPCS 76815

Us Pregnant Uterus Limited 1/> Fetuses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.58 / $30.39 / $90.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $122.89 / $367.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.62 / $47.17 / $112.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.07 / $61.52 / $195.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.01 / $76.66 / $151.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.84 / $129.13 / $524.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.05 / $48.29 / $195.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.33 / $84.64 / $329.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $131.19 / $205.55
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.91 / $57.85 / $76.52
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.09 / $101.04 / $133.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $145.22 / $258.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.82 / $49.68 / $91.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.18 / $96.35 / $167.36
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.51 / $78.27 / $148.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.12 / $194.08 / $259.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.68 / $74.38 / $98.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.44 / $121.28 / $160.66
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.89 / $88.06 / $263.37
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.90 / $151.29 / $151.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $129.13 / $524.64
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.32 / $47.58 / $195.35
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.99 / $83.30 / $329.23
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.08 / $86.21 / $139.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.81 / $112.71 / $207.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.10 / $41.62 / $73.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.57 / $74.69 / $135.03