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Ohio 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
$38.99 / $64.52 / $143.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.40 / $156.00 / $413.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.74 / $62.57 / $192.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.82 / $69.69 / $128.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.80 / $84.58 / $118.01
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.31 / $40.26 / $53.05
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.38 / $64.90 / $90.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.39 / $100.53 / $167.05
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.59 / $44.66 / $73.93
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.79 / $54.52 / $94.06
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.17 / $127.84 / $179.96
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.68 / $49.26 / $69.34
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.50 / $78.59 / $110.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.68 / $78.59 / $133.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.92 / $135.69 / $223.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.02 / $53.04 / $85.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.08 / $83.42 / $140.41
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.60 / $136.66 / $219.34
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.79 / $57.87 / $106.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.43 / $85.58 / $147.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $81.89 / $132.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.77 / $120.19 / $196.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.19 / $47.94 / $77.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.61 / $76.41 / $122.06