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Utah 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
$107.15 / $269.15 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $125.89 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $134.90 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $177.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $269.15 / $371.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $251.19 / $302.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $204.17 / $302.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $141.25 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $144.54 / $239.88