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Nebraska rates for HCPCS 76512

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

Facilitymedian $155 · 10th–90th $52$6610%10%10th90th$155Professionalmedian $58 · 10th–90th $19$1910%5%10th90th$58$10.0$20.0$50.0$100.0$200.0$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
$107.15 / $120.23 / $660.69
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $154.88 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $91.20 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $42.66 / $128.82
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $21.88 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $95.50 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $67.61 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $295.12 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $89.13 / $93.33
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $57.54 / $60.26
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $33.11 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $112.20 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $70.79 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $40.74 / $85.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $107.15 / $331.13
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $102.33 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $60.26 / $338.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $43.65 / $407.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $102.33 / $162.18
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $66.07 / $102.33
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $38.02 / $60.26
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $162.18 / $218.78
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $85.11 / $97.72
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $60.26 / $123.03
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $128.82 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $95.50 / $165.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $57.54 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $33.88 / $77.62