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Virginia 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
$35.48 / $67.61 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $165.96 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $67.61 / $181.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $75.86 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $144.54 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $52.48 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $93.33 / $138.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $309.03
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $42.66 / $61.66
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $79.43 / $89.13
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
$85.11 / $125.89 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $51.29 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $77.62 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $128.82 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $44.67 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $83.18 / $102.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $131.83 / $141.25
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $61.66 / $77.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $177.83
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $114.82 / $281.84
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $54.95 / $83.18
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $89.13 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $43.65 / $74.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $70.79 / $125.89