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South Dakota 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
$107.15 / $295.12 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $112.20 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $239.88 / $295.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $151.36 / $229.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $190.55 / $645.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $208.93 / $213.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $162.18 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $165.96 / $239.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $208.93