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North Carolina rates for HCPCS 76512

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

Facilitymedian $155 · 10th–90th $42$3390%10%10th90th$155Professionalmedian $76 · 10th–90th $26$1780%5%10th90th$76$1.0$5.0$20.0$100.0$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
$72.44 / $309.03 / $457.09
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $56.23 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $87.10 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $48.98 / $181.97
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$74.13 / $177.83 / $346.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $22.91 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $39.81 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $54.95 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $83.18 / $138.04
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $77.62 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $69.18 / $120.23
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.24 / $33.88 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $117.49 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $60.26 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $51.29 / $97.72
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $104.71 / $194.98
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $87.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $81.28 / $186.21
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $131.83
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $186.21 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $77.62 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $91.20 / $165.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $50.12 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $37.15 / $79.43
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $691.83 / $691.83
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87