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Michigan rates for HCPCS 76510

Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.67 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $102.33 / $229.09
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$302.00 / $302.00 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $204.17 / $204.17
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.33 / $43.65 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $147.91 / $281.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.67 / $194.98 / $229.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $134.90 / $223.87
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.33 / $43.65 / $61.66
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $131.83 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $151.36 / $213.80