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Montana 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
$403.88 / $403.88 / $403.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $102.31 / $519.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.34 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.74 / $45.74 / $157.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.31 / $157.21 / $430.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.68 / $157.21 / $227.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.04 / $157.22 / $223.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.67 / $175.18 / $272.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $107.19 / $188.24