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Alaska rates for HCPCS 76885

Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.79 / $808.99 / $841.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $138.31 / $359.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.22 / $386.22 / $386.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.41 / $225.42 / $432.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.90 / $359.90 / $503.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.23 / $391.08 / $705.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.75 / $584.35 / $824.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.90 / $359.90 / $503.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.04 / $420.23 / $810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.80 / $350.28 / $721.23