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Alaska rates for HCPCS 76511

Ophthalmic ultrasound, diagnostic; quantitative A-scan only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.17 / $108.17 / $108.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.50 / $179.27 / $179.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.02 / $119.12 / $119.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.35 / $121.77 / $206.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.10 / $94.30 / $124.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.68 / $164.01 / $348.40
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.90 / $101.88 / $231.24
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.25 / $281.70 / $407.75
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.25 / $154.50 / $227.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.05 / $213.75 / $407.75
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.21 / $158.60 / $244.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.94 / $237.30 / $336.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.86 / $149.43 / $211.70