1st Trimester

Another NT scan question...

How did you find out whether it is covered by insurance or not? Did you just wait until yu saw the Dr. or did you call your insurance company?


Re: Another NT scan question...

  • I looked it up on my insurance company's website.  They consider it "medically necessary."
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  • Called my ins company and found out they cover 80%... Call them
  • Your dr. should know, if he is familiar with your policy!  But you can always call too!:)
  • imageteeah22:
    I looked it up on my insurance company's website.  They consider it "medically necessary."

    I've been looking on the website and can't find anything.


  • Call your insurance co - it's the easiest way to know for sure! I've heard if it's not covered they typically cost $600 but maybe someone else has an opinion on out of pocket costs.

     Good luck!

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  • imageStephanie2167:

    imageteeah22:
    I looked it up on my insurance company's website.  They consider it "medically necessary."

    I've been looking on the website and can't find anything.

    I have Aetna, it was pretty easy to find.  I try to avoid calling if possible, I've heard of people having problems with the company not knowing what they're talking about without procedure codes.

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  • MegDCMegDC member
    imageSwitzerland:

    Call your insurance co - it's the easiest way to know for sure! I've heard if it's not covered they typically cost $600 but maybe someone else has an opinion on out of pocket costs.

    ?Good luck!

    Mine cost $250 FYI.?

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  • If you call your insurance company, call your OB office first and ask for all CPT codes associated with the NT screening.  Agree with pp that insurance companies don't really know what procedures are... unless they have the codes.
  • The procedure code for the ultrasound part is 76813.  It shouldn't cost more than $250 out of pocket if your insurance doesn't cover it.  :-)

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