go back

Maine 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
$302.00 / $489.78 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $125.89 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $338.84 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $177.83 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $190.55 / $309.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $371.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $489.78 / $524.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $162.18 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $199.53 / $371.54