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New Jersey 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
$42.66 / $112.20 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $181.97 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $74.13 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $79.43 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $38.90 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $56.23 / $93.33
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $125.89 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $141.25 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $53.70 / $87.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $83.18 / $151.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $134.90 / $186.21
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $47.86 / $66.07
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $89.13 / $123.03
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $114.82 / $218.78
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $40.74 / $89.13
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $74.13 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $114.82 / $208.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $43.65 / $77.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $72.44 / $131.83