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Arizona rates for HCPCS 76512

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

Facilitymedian $100 · 10th–90th $35$2290%10%10th90th$100Professionalmedian $71 · 10th–90th $22$1910%5%10th90th$71$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
$229.09 / $229.09 / $776.25
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $131.83 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $89.13 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $51.29 / $181.97
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$83.18 / $165.96 / $363.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $25.70 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $38.02 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$51.29 / $53.70 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $51.29 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $44.67 / $79.43
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $26.92 / $47.86
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $17.78 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $194.98 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $87.10 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $46.77 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $38.02 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $70.79 / $186.21
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $199.53 / $199.53
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $93.33 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $52.48 / $338.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $42.66 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $89.13 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $91.20 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $47.86 / $69.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $38.90 / $58.88