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Michigan 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
$131.10 / $214.52 / $618.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $137.19 / $395.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.23 / $236.41 / $410.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.29 / $178.07 / $240.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.24 / $140.24 / $140.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.29 / $160.85 / $366.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.10 / $297.45 / $787.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.51 / $137.18 / $275.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $109.97 / $164.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.90 / $80.90 / $80.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.69 / $146.16 / $208.75