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Pennsylvania rates for HCPCS 76511

Ophthalmic ultrasound, diagnostic; quantitative A-scan only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.15 / $100.00 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $79.43 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $38.02 / $83.18
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $144.54 / $144.54
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $162.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $36.31 / $87.10
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.65 / $114.82 / $323.59
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
$52.48 / $104.71 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $53.70 / $85.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $79.43 / $95.50
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $46.77 / $57.54
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $162.18
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $47.86 / $81.28
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.15 / $93.33 / $173.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $89.13 / $223.87
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $45.71 / $97.72
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $144.54 / $144.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $123.03 / $199.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.67 / $52.48 / $52.48
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $54.95 / $125.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $34.67 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $74.13 / $138.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $40.74 / $70.79