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Idaho 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
$73.36 / $110.87 / $343.20
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.18 / $63.29 / $78.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.32 / $90.20 / $172.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.99 / $47.75 / $95.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.23 / $165.74 / $179.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.42 / $36.86 / $45.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.86 / $367.78 / $603.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.01 / $83.80 / $132.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.36 / $51.80 / $75.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.64 / $30.05 / $57.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.32 / $162.32 / $234.96
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$221.81 / $221.81 / $221.91
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.15 / $13.15 / $221.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.41 / $105.21 / $216.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.33 / $85.58 / $114.32
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.03 / $52.40 / $85.58
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.28 / $30.85 / $47.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $32.34 / $84.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.40 / $273.07 / $398.05
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $211.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.84 / $98.64 / $114.33
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.40 / $61.65 / $73.97
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.44 / $36.99 / $40.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.77 / $92.92 / $185.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.11 / $52.42 / $99.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.65 / $40.50 / $80.04