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Arkansas rates for HCPCS 76512

Ophthalmic Us Dx B-Scan W/Wo Non-Quan A-Scan

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.75 / $144.44 / $208.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.78 / $64.73 / $82.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.32 / $89.50 / $173.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.81 / $48.42 / $102.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$179.00 / $179.00 / $179.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.45 / $36.88 / $48.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.60 / $107.60 / $117.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.87 / $76.59 / $85.11
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.27 / $45.35 / $50.39
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.61 / $31.25 / $34.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $33.72 / $57.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $31.94 / $60.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.33 / $115.03 / $175.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.44 / $97.59 / $145.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.77 / $56.93 / $78.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.20 / $37.72 / $76.97
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.63 / $83.63 / $83.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.80 / $87.91 / $148.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.32 / $50.25 / $65.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.29 / $28.46 / $60.75