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North Dakota 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
$32.64 / $32.64 / $52.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.63 / $91.45 / $254.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.64 / $31.85 / $85.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.96 / $62.21 / $434.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.12 / $196.36 / $205.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.49 / $74.65 / $78.03
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.63 / $121.71 / $127.64
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
$91.85 / $152.58 / $214.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.11 / $57.73 / $79.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.35 / $95.00 / $134.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.53 / $161.81 / $524.64
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.40 / $65.28 / $195.35
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.07 / $99.43 / $329.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.57 / $149.09 / $191.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.20 / $56.25 / $80.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.33 / $90.02 / $119.57