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My 70 minute 2D ultrasound (with 5 minute 3D session) denied by insurance Aetna. Help?

How does one deal with this situation. I did not request a 3D ultrasound. I simply asked the tech if they did them and she told me that she did them at the end of every ultrasound as a handout and they didn't file it with the insurance company. Well, they did. She spent 70 minutes on my 2D ultrasound, measuring and checking EVERYTHING... then she did 5 minutes 3D, even though she knew the baby was upsidedown and we couldn't see anything. Aetna talks about how they don't cover 3D, but they don't mention how they deal with 2D/3D... where 93.33% was spent on 2D for a serious medical history condition... Hmm... Anyone dealt with this? I have already reamed the hospital to resubmit the claim and have shaken my finger at Aetna for their lack of insight. This question was for people who have Aetna and who have had a 2D/3D denied or accepted by Aetna. Aetna denies 3D and accepts 2D... but what happens when 93% of your ultrasound is 2D and less than 7% is 3D?? As for the political response... I have no comment. I'm so traditionally right wing, my beliefs would make your head spin.

Public Comments

1. ~~Ultra sound is a procedure which requires a pre-authorization. If they did not get that prior to doing the procedure, they screwed up. Sadly though it falls on the patient to be sure ever procedure is authorized, so you get the bill if they make the mistake. It is just one of many ridiculous gouging Health Insurance companies gets away with. All I can say is vote for people who want to get true reform of this industry.~~
2. Thats what happens when you turn peoples health into profit.
3. 3D is rarely covered. Most of the time, the 2D is covered, when your OB recommends it for a medical reason. My guess is, there was a coding issue. The tech - or someone - used the 3D coding instead of the 2D coding. You need to call them (the billing company) and ask them to either waive this, or rebill it under the 2d, as the tech gave you the 3d for free.
4. The hospital didn't bill something right. They should bill for the 2d only and then bill you for the 5 mins of 3d. A preauth may be needed as well depending on your policy.