76805

CPT/HCPCS

Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus

Physician Fee Schedule

Facility

Medicare Payment

$31.68

Submitted Charge$199.53
Medicare Allowed$47.43
Providers850
Beneficiaries957
Total Services1,093
Office

Medicare Payment

$76.91

Submitted Charge$384.33
Medicare Allowed$115.33
Providers1,476
Beneficiaries1,702
Total Services2,048