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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
$38.90 / $46.77 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $165.96 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $61.66 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $67.61 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $109.65 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $47.86 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $66.07 / $128.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $263.03
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $37.15 / $51.29
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $46.77 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $114.82 / $208.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $45.71 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $72.44 / $123.03