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Oklahoma 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
$33.11 / $46.77 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $154.88 / $295.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $50.12 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $69.18 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $114.82 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $41.69 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $75.86 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $107.15 / $144.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.02 / $38.02 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $102.33 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $39.81 / $67.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $61.66 / $112.20
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.50 / $181.97 / $181.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $120.23 / $707.95
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $46.77 / $257.04
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $75.86 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $114.82 / $162.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $44.67 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $70.79 / $100.00