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Montana rates for HCPCS 76511

Ophthalmic ultrasound, diagnostic; quantitative A-scan only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.95 / $98.03 / $263.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.85 / $47.78 / $55.85
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.21 / $55.21 / $68.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.91 / $132.32 / $168.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.91 / $55.41 / $87.88
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.21 / $55.21 / $68.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.53 / $107.95 / $168.78
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.91 / $61.67 / $87.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.16 / $96.24 / $117.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.81 / $50.15 / $65.28