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New Hampshire 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
$73.04 / $327.57 / $327.57
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.63 / $175.98 / $175.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.55 / $90.20 / $229.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.09 / $48.42 / $134.60
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.23 / $82.23 / $179.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.46 / $36.89 / $116.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.30 / $245.44 / $272.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.26 / $67.91 / $95.86
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.11 / $42.74 / $59.92
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$69.39 / $101.86 / $142.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.14 / $25.17 / $35.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.61 / $257.22 / $640.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.26 / $109.06 / $199.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.27 / $65.40 / $115.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.63 / $41.40 / $95.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $88.16 / $174.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.33 / $57.65 / $102.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.63 / $32.36 / $60.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.84 / $91.71 / $197.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.33 / $42.98 / $132.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.82 / $29.41 / $91.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $70.41 / $113.18
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.38 / $38.11 / $58.41
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.35 / $23.87 / $43.58