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Missouri rates for HCPCS 76511

Ophthalmic ultrasound, diagnostic; quantitative A-scan only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.20 / $81.28 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $36.31 / $131.83
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $144.54 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $87.10 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $50.12 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$95.50 / $128.82 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $64.57 / $123.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $40.74 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $100.00 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $53.70 / $104.71
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
$60.26 / $102.33 / $691.83
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $53.70 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $77.62 / $134.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $44.67 / $69.18