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New Hampshire rates for HCPCS 76510

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

Facilitymedian $288 · 10th–90th $35–$2880%50%10th$288Professionalmedian $123 · 10th–90th $68–$1950%5%10%10th90th$123$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $109.65 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $102.33 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$102.33 / $151.36 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $158.49 / $354.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $120.23 / $190.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $141.25 / $323.59
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $34.67 / $38.02