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Tennessee 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
$26.92 / $45.71 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $128.82 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $57.54 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.74 / $57.54 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $64.57 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $30.20 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $46.77 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $93.33 / $169.82
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $45.71 / $74.13
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $72.44 / $112.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.59 / $35.48 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $39.81 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $61.66 / $104.71
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$194.98 / $194.98 / $194.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $676.08
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $245.47 / $245.47
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$331.13 / $426.58 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $93.33 / $154.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $37.15 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $57.54 / $93.33