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Delaware 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
$39.21 / $40.49 / $52.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.43 / $107.60 / $286.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.61 / $39.21 / $100.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.82 / $68.37 / $83.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.25 / $110.84 / $200.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.55 / $44.03 / $73.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.88 / $66.81 / $127.36
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.55 / $100.55 / $151.22
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.56 / $36.56 / $52.11
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.30 / $47.30 / $71.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.96 / $123.13 / $253.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.46 / $49.85 / $94.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.97 / $71.36 / $158.61