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Wyoming 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
$38.71 / $38.71 / $39.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.94 / $114.84 / $138.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.61 / $40.84 / $86.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.34 / $74.00 / $89.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $461.00 / $461.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.00 / $168.00 / $168.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.00 / $293.00 / $293.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.21 / $175.34 / $326.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.10 / $63.63 / $113.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.45 / $111.71 / $201.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.56 / $222.20 / $395.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.13 / $83.59 / $150.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.43 / $138.61 / $244.40