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Florida 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
$27.40 / $45.14 / $130.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.66 / $103.15 / $243.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.40 / $37.86 / $90.14
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.26 / $61.80 / $105.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.73 / $100.98 / $165.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.12 / $46.18 / $70.53
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.13 / $60.49 / $79.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.25 / $46.25 / $128.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.93 / $107.05 / $220.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.21 / $44.97 / $89.35
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.72 / $67.48 / $138.13
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.38 / $47.38 / $47.38
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $104.35 / $155.13
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.93 / $39.92 / $60.11
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.00 / $65.05 / $95.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.60 / $82.75 / $142.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.63 / $93.46 / $175.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.35 / $36.04 / $67.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.82 / $58.39 / $114.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.68 / $69.68 / $69.68
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.34 / $25.34 / $25.34
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.35 / $44.35 / $44.35