go back

Utah rates for HCPCS 76511

Ophthalmic Us Dx Quantitative A-Scan Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.12 / $56.12 / $56.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.47 / $108.02 / $358.07
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.98 / $56.12 / $206.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.65 / $97.48 / $141.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.34 / $55.78 / $82.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $37.72 / $66.43
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$198.33 / $198.33 / $198.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.77 / $117.14 / $209.83
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.05 / $71.93 / $111.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $84.01 / $128.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.29 / $48.33 / $66.00