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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
$26.92 / $45.71 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $165.96 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $66.07 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $70.79 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $39.81 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $64.57 / $95.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.77 / $45.71 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $107.15 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $44.67 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $67.61 / $147.91
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.86 / $47.86 / $47.86
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $154.88
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $35.48 / $60.26
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.48 / $56.23 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $51.29 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $173.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $36.31 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $58.88 / $109.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $107.15
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $28.18 / $40.74
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $47.86 / $67.61