go back

Arizona 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
$228.60 / $228.60 / $744.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.87 / $101.29 / $126.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.57 / $90.20 / $173.71
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.22 / $47.75 / $95.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.23 / $165.74 / $179.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $36.89 / $64.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.56 / $29.56 / $29.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.21 / $48.02 / $79.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.86 / $39.82 / $49.77
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.97 / $23.96 / $29.95
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.89 / $15.86 / $19.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.22 / $233.08 / $328.28
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.29 / $34.29 / $34.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.68 / $87.88 / $145.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.53 / $46.68 / $71.48
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$79.23 / $79.23 / $79.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.19 / $38.24 / $69.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.47 / $71.91 / $176.12
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$198.78 / $198.78 / $198.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.64 / $93.81 / $659.45
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.04 / $50.87 / $335.18
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.60 / $40.50 / $404.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.97 / $108.97 / $240.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.33 / $90.53 / $115.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.50 / $48.33 / $68.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.55 / $38.72 / $59.19