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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
$35.07 / $35.07 / $222.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.35 / $108.27 / $353.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.07 / $40.77 / $157.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.49 / $63.72 / $103.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.48 / $120.35 / $183.70
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.93 / $43.40 / $76.52
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.44 / $52.42 / $98.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.98 / $142.44 / $225.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.65 / $56.65 / $89.15
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.53 / $88.85 / $141.91
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.25 / $46.25 / $46.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.31 / $125.23 / $215.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.65 / $51.74 / $86.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.72 / $75.06 / $134.86
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.69 / $198.74 / $198.74
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.49 / $708.49 / $902.10
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$257.68 / $257.68 / $321.00
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$450.80 / $450.80 / $581.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.86 / $123.39 / $220.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.97 / $49.91 / $87.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.18 / $77.13 / $130.00