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New Hampshire rates for HCPCS 76511

Ophthalmic ultrasound, diagnostic; quantitative A-scan only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $79.43 / $281.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $39.81 / $74.13
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
$57.54 / $85.11 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $51.29 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.10 / $125.89 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $128.82 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $70.79 / $114.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $151.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $63.10 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $104.71 / $218.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $48.98 / $109.65