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South Dakota 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
$363.08 / $758.58 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $186.21 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $239.88 / $741.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $269.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $223.87 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $223.87 / $323.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $281.84 / $281.84