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Idaho 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
$275.42 / $467.74 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $138.04 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $245.47 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $229.09 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $275.42 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $208.93 / $363.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $380.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $154.88 / $338.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $234.42 / $295.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $229.09 / $316.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $288.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $151.36 / $302.00