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Michigan rates for HCPCS 76886

Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.10 / $145.15 / $275.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $111.01 / $176.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.03 / $165.81 / $288.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.82 / $140.49 / $170.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.47 / $111.47 / $111.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.83 / $125.65 / $274.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.96 / $145.15 / $275.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.96 / $106.96 / $166.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $77.58 / $119.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.16 / $109.58 / $156.49