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Tennessee 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
$34.67 / $34.67 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $177.83 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $72.44 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $74.13 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $38.02 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $60.26 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $125.89 / $223.87
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $58.88 / $95.50
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $97.72 / $154.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.77 / $45.71 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $120.23 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $51.29 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $72.44 / $134.90
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$257.04 / $257.04 / $257.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $912.01
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$257.04 / $323.59 / $323.59
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$446.68 / $575.44 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $204.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $48.98 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $74.13 / $125.89