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New York 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
$24.71 / $34.71 / $83.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.86 / $121.23 / $399.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.95 / $46.97 / $128.57
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.86 / $61.17 / $138.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $55.41 / $76.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.42 / $23.09 / $30.26
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.77 / $57.77 / $57.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $91.06 / $216.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.08 / $33.29 / $69.69
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.73 / $56.87 / $134.88
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.46 / $73.43 / $118.89
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
$69.84 / $129.96 / $290.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.14 / $44.22 / $94.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.75 / $76.41 / $192.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.82 / $108.86 / $165.18
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.22 / $39.94 / $64.02
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.61 / $66.67 / $143.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.94 / $102.49 / $171.06
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.75 / $40.74 / $65.34
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.75 / $67.04 / $105.72
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.13 / $92.78 / $102.54
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.47 / $35.28 / $43.02
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.00 / $94.71 / $161.05
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.00 / $37.40 / $75.81
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.68 / $56.68 / $56.68
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.11 / $35.11 / $35.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.26 / $119.74 / $257.85
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.21 / $43.78 / $93.59
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.39 / $69.86 / $164.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $88.54 / $208.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.77 / $32.43 / $73.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.70 / $54.38 / $132.63
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.86 / $35.86 / $106.48
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $108.47 / $212.11
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.12 / $41.44 / $83.64
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.34 / $68.84 / $133.08