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Alaska rates for HCPCS 76512

Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan)

Facilitymedian $98 · 10th–90th $42$2450%5%10%10th90th$98Professionalmedian $63 · 10th–90th $19$1950%5%10th90th$63$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $245.47 / $269.15
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $89.13 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $38.90 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $21.88 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $107.15 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $58.88 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $46.77 / $95.50
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $97.72 / $229.09
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $141.25 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $93.33 / $151.36
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $48.98 / $97.72
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $239.88 / $371.54
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $138.04 / $218.78
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $95.50 / $158.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $85.11 / $223.87
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $107.15 / $147.91
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $51.29 / $144.54
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $35.48 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $177.83 / $288.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $109.65 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $72.44 / $117.49