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Ohio rates for HCPCS 76512

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

Facilitymedian $76 · 10th–90th $29$3800%10%10th90th$76Professionalmedian $58 · 10th–90th $21$1910%10%10th90th$58$0.2$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
$44.67 / $177.83 / $416.87
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $41.69 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $83.18 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $43.65 / $144.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$141.25 / $223.87 / $363.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $20.89 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $40.74 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$53.70 / $53.70 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $288.40 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $107.15 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $60.26 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$102.33 / $162.18 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $45.71 / $74.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $37.15 / $72.44
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $34.67 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $85.11 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $89.13 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $46.77 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $35.48 / $77.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $169.82 / $524.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $85.11 / $162.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $46.77 / $89.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $31.62 / $75.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $60.26 / $107.15
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $38.02 / $69.18
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $21.88 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $79.43 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $64.57 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $38.02 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $25.70 / $58.88