go back

Oregon rates for HCPCS 76512

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $125.89 / $389.05
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.69 / $64.57 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $89.13 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $48.98 / $181.97
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.13 / $151.36 / $316.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.13 / $30.90 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $302.00 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $109.65 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $66.07 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $44.67 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $102.33 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $64.57 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $38.90 / $48.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $89.13 / $199.53
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.69 / $51.29 / $316.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $107.15 / $169.82
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $63.10 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.18 / $165.96 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $40.74 / $58.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $95.50 / $173.78
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.98 / $60.26 / $100.00
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $77.62 / $102.33
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $57.54 / $77.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $97.72 / $199.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $181.97
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $75.86 / $112.20
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $50.12 / $85.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $371.54 / $457.09
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$389.05 / $389.05 / $389.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $114.82 / $169.82
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $70.79 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $42.66 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $389.05 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $93.33 / $158.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $53.70 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $39.81 / $64.57