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Louisiana 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
$125.89 / $239.88 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $125.89 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $141.25 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $151.36 / $177.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $354.81 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $128.82 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $138.04 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $204.17