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California 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
$131.83 / $588.84 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $173.78 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $208.93 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $37.15 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $316.23
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $186.21 / $645.65
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $177.83 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $281.84 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $346.74
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $162.18 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $331.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $93.33 / $154.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $165.96 / $288.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $181.97 / $363.08
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $144.54 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $144.54 / $302.00