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Arizona 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
$75.53 / $226.27 / $434.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $129.99 / $584.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.26 / $127.46 / $132.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.74 / $246.32 / $410.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.01 / $109.35 / $136.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.50 / $241.80 / $430.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.88 / $154.06 / $276.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.91 / $142.99 / $263.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.65 / $147.87 / $740.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.90 / $80.90 / $195.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.25 / $146.16 / $236.17