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Montana 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
$395.44 / $813.60 / $1,288.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $108.51 / $562.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.47 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $54.68 / $214.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.57 / $222.18 / $617.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.23 / $214.00 / $309.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.90 / $214.00 / $320.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.69 / $237.46 / $371.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.43 / $146.16 / $256.68