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South Carolina 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
$33.88 / $42.66 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $177.83 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $72.44 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $70.79 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $109.65 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $39.81 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $64.57 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $117.49 / $158.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $48.98 / $87.10
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $64.57 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $123.03 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $53.70 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $77.62 / $144.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $112.20 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $43.65 / $77.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $69.18 / $114.82