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Indiana rates for HCPCS 76512

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

Facilitymedian $87 · 10th–90th $28$3470%20%10th90th$87Professionalmedian $54 · 10th–90th $19$1910%5%10th90th$54$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$43.65 / $316.23 / $346.74
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $79.43 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $38.02 / $120.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$70.79 / $158.49 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $18.20 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $42.66 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $346.74 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $102.33 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $45.71 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $151.36 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $56.23 / $89.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $36.31 / $61.66
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $33.11 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $97.72 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $47.86 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $39.81 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $87.10 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $79.43 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $45.71 / $66.07
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $32.36 / $69.18