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Virginia 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
$27.84 / $49.55 / $554.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.15 / $84.79 / $162.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.64 / $30.58 / $65.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.97 / $52.14 / $98.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.68 / $93.97 / $131.53
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.96 / $35.13 / $49.04
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.71 / $58.78 / $81.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.25 / $99.25 / $300.99
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.20 / $34.20 / $64.64
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.05 / $65.05 / $122.94
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
$65.73 / $107.57 / $194.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.68 / $39.79 / $73.01
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.70 / $67.14 / $123.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $94.96 / $116.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.72 / $35.22 / $43.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.67 / $60.72 / $75.05
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.33 / $55.00 / $90.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $80.00 / $144.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.12 / $102.91 / $197.14
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.02 / $43.54 / $70.18
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.44 / $76.55 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $101.82 / $145.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.77 / $36.52 / $59.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.94 / $58.35 / $96.93