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Delaware rates for HCPCS 76512

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.33 / $589.64 / $786.18
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.38 / $39.38 / $74.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.30 / $82.23 / $250.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.25 / $45.34 / $134.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.05 / $36.89 / $46.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.48 / $193.48 / $193.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $91.38 / $134.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.26 / $48.05 / $67.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.20 / $36.65 / $78.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.90 / $797.90 / $819.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.68 / $110.00 / $143.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.19 / $45.76 / $71.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.52 / $42.97 / $86.37