go back

Connecticut 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
$86.72 / $101.64 / $310.02
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.83 / $121.50 / $170.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.76 / $96.21 / $303.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.38 / $50.97 / $153.72
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$94.51 / $94.51 / $652.41
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.46 / $41.99 / $64.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $245.85 / $365.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.25 / $108.10 / $159.50
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.92 / $62.89 / $89.50
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$75.37 / $162.15 / $238.00
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.32 / $45.93 / $71.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.23 / $112.81 / $535.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.91 / $115.94 / $182.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.06 / $61.88 / $88.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.35 / $45.23 / $95.27
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.69 / $104.48 / $175.49
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $40.15 / $53.99
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.20 / $25.06 / $43.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $48.36 / $91.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.51 / $82.57 / $161.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.91 / $47.97 / $92.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.28 / $31.54 / $68.86