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Montana rates for HCPCS 76512

Ophthalmic Us Dx B-Scan W/Wo Non-Quan A-Scan

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.13 / $90.20 / $172.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.34 / $48.42 / $95.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.23 / $165.74 / $205.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.46 / $41.78 / $64.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.04 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $75.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $64.30 / $124.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.32 / $47.32 / $58.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.72 / $116.87 / $152.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.32 / $54.41 / $87.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.39 / $52.16 / $72.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.06 / $117.61 / $173.46
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.32 / $47.32 / $58.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $90.81 / $152.47
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.32 / $50.96 / $87.30
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.39 / $50.03 / $65.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.77 / $86.41 / $132.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.11 / $48.95 / $56.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.65 / $34.79 / $49.02