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New Mexico 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

Facilitymedian $45 · 10th–90th $39$560%20%10th90th$45Professionalmedian $65 · 10th–90th $28$2040%5%10th90th$65$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.90 / $44.67 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $95.50 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $38.90 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $53.70 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $56.23 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $109.65 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $40.74 / $56.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $69.18 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $107.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $138.04 / $190.55
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $40.74 / $56.23
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $74.13 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $181.97
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $33.88 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $63.10 / $102.33