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Arizona rates for HCPCS 76511

Ophthalmic ultrasound, diagnostic; quantitative A-scan only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$120.23 / $151.36 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $85.11 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $39.81 / $120.23
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $144.54 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $52.48 / $91.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $31.62 / $54.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.51 / $39.81 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $97.72 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $51.29 / $83.18
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.28 / $199.53 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $102.33 / $691.83
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $51.29 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $95.50 / $131.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $50.12 / $69.18