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Indiana 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
$43.72 / $250.18 / $350.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.15 / $28.15 / $47.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.72 / $78.22 / $173.71
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.35 / $31.54 / $53.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.23 / $94.51 / $179.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.23 / $18.18 / $41.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.17 / $42.17 / $42.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.65 / $350.00 / $400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.13 / $101.75 / $157.71
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.82 / $46.10 / $63.61
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$81.19 / $152.62 / $236.56
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.31 / $55.65 / $86.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $35.14 / $59.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $33.72 / $55.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.68 / $350.00 / $350.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.29 / $34.29 / $34.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.35 / $111.32 / $195.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.75 / $50.58 / $103.53
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$79.23 / $79.23 / $90.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.87 / $51.65 / $126.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.69 / $235.69 / $235.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $84.65 / $147.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.12 / $46.92 / $64.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.84 / $35.18 / $72.62