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Hawaii rates for HCPCS 76512

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

Facilitymedian $42 · 10th–90th $31$680%10%20%10th90th$42Professionalmedian $63 · 10th–90th $25$1820%5%10th90th$63$20.0$50.0$100.0$200.0

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
$51.29 / $57.54 / $67.61
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.90 / $34.67 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $83.18 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $38.90 / $107.15
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$70.79 / $204.17 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $25.70 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $83.18 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $46.77 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.45 / $37.15 / $72.44
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $162.18 / $181.97
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $54.95 / $64.57
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $114.82 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $74.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $38.02 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $25.12 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $87.10 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $50.12 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $37.15 / $69.18
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $95.50 / $204.17
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $50.12 / $95.50
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $43.65 / $114.82