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Rhode Island 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
$204.17 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $234.42 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $97.72 / $263.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $81.28 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $134.90 / $251.19
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $50.12 / $85.11
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $85.11 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $158.49 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $58.88 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $104.71 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $208.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $48.98 / $77.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $81.28 / $141.25