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Tennessee 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
$93.07 / $331.54 / $431.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.79 / $100.78 / $211.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.20 / $174.26 / $283.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.39 / $284.56 / $353.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.76 / $153.29 / $270.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.62 / $669.70 / $669.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.76 / $740.76 / $1,055.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.80 / $100.67 / $179.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.59 / $156.38 / $268.20