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New Mexico 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
$151.19 / $344.28 / $362.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.55 / $129.99 / $584.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.49 / $462.22 / $821.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.29 / $92.75 / $192.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.00 / $96.00 / $96.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.04 / $174.84 / $247.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $50.28 / $170.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.98 / $138.24 / $193.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.54 / $223.79 / $332.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.81 / $194.81 / $194.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.25 / $146.16 / $285.02