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Vermont 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
$794.33 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $107.15 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $575.44 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $588.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $147.91 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $154.88 / $380.19