| Type | Description | Exam Codes | Self-Pay |
|---|---|---|---|
| Obstetrical | 1st trimester pregnancy confirmation and dating starting at 8 weeks | 76801 | $169 |
| Obstetrical | 2nd trimester anatomy | 76811 | $249 |
| Obstetrical | 3rd trimester with growth - ama, gdm, preeclampsia, AFI, position, placenta check, small for gestational age, large for gestational age. | 76805 | $189 |
| Obstetrical | AFI, position, placenta check, misc. | 76816 | $169 |
| Obstetrical | Transvaginal - Placenta previa, cervical length, ectopic, early pregnancy | 76817 | $169 |
| Obstetrical | Biophysical profile - fetal wellbeing | 76819 | $169 |
| Gynecological | Pelvic | 76856 | $169 |
| Gynecological | Transvaginal | 76830 | $169 |
| Fertility - follicle checks | Transvaginal | 76830 | $169 |
| Abdominal - Complete | Gallbladder, liver, kidneys, pancreas, spleen, aorta | 76700 | $199 |
| Abdominal - Limited | Single organ exam | 76705 | $169 |
If two exams are performed, the second exam is discounted by 50%
Self-pay or HSA accepted.
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