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Colorado rates for HCPCS 76816

Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.69 / $52.48 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $181.97 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $67.61 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $79.43 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $158.49 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $57.54 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $100.00 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $125.89 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $48.98 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $77.62 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $69.18 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $123.03 / $229.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $117.49 / $151.36
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $41.69 / $63.10
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $74.13 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $245.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $56.23 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $93.33 / $154.88