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Utah 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
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $162.18 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $309.03
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$204.17 / $204.17 / $204.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $204.17 / $562.34
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $104.71 / $194.98
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $67.61 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $186.21