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Pennsylvania 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
$128.78 / $475.75 / $721.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.43 / $110.34 / $584.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.68 / $126.27 / $214.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.78 / $187.61 / $305.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.95 / $159.58 / $261.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.29 / $175.08 / $300.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.44 / $322.75 / $429.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.01 / $322.06 / $702.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.12 / $130.36 / $584.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.15 / $121.42 / $284.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.94 / $186.01 / $286.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.28 / $159.58 / $259.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.00 / $116.08 / $116.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.00 / $116.08 / $125.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.77 / $146.16 / $262.13