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Idaho rates for HCPCS 76512

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

Facilitymedian $204 · 10th–90th $45$3890%10%20%10th90th$204Professionalmedian $71 · 10th–90th $26$1740%10%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
$74.13 / $346.74 / $398.11
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $91.20 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $47.86 / $134.90
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$83.18 / $177.83 / $346.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $30.90 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $263.03 / $446.68
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $89.13 / $109.65
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $57.54 / $70.79
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $31.62 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $371.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $85.11 / $147.91
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $52.48 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $31.62 / $69.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $234.42 / $234.42
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.18 / $13.18 / $223.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $97.72 / $213.80
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $81.28
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $93.33 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $56.23 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$83.18 / $177.83 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $33.88 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $295.12 / $389.05
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $97.72 / $117.49
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $61.66 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $37.15 / $44.67
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $169.82
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $29.51 / $66.07
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $18.20 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $93.33 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $52.48 / $104.71
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $40.74 / $81.28