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Wisconsin 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
$208.93 / $707.95 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $138.04 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $436.52 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $295.12 / $549.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $181.97 / $446.68
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $281.84 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $165.96 / $354.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $257.04 / $741.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $154.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $309.03 / $457.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $741.31 / $741.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $588.84 / $741.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $524.81 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $190.55 / $467.74