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Indiana 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
$108.58 / $350.00 / $598.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.62 / $113.10 / $211.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.75 / $350.00 / $464.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.45 / $95.75 / $148.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.22 / $106.31 / $167.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $106.31 / $151.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.24 / $350.00 / $350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.42 / $147.09 / $280.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.81 / $194.81 / $194.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.50 / $141.78 / $250.93