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North Dakota 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
$53.40 / $53.40 / $82.69
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.93 / $31.93 / $52.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.46 / $82.80 / $176.22
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.99 / $45.34 / $64.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.18 / $36.89 / $64.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.03 / $118.86 / $121.63
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.18 / $73.02 / $76.33
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$121.28 / $221.24 / $243.26
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.85 / $41.00 / $45.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.68 / $53.68 / $53.68
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
$66.95 / $90.72 / $154.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.67 / $57.09 / $87.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $33.61 / $82.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $82.69 / $196.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.76 / $134.04 / $659.45
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.72 / $79.95 / $335.18
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.04 / $56.50 / $404.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.52 / $112.31 / $187.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.96 / $64.34 / $107.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.65 / $47.28 / $79.94