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Pennsylvania 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
$41.80 / $231.00 / $1,304.23
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.78 / $42.74 / $103.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.80 / $82.40 / $174.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.27 / $45.34 / $107.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$94.51 / $180.44 / $465.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.18 / $30.46 / $60.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.08 / $46.08 / $46.08
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.87 / $60.87 / $60.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.85 / $76.11 / $203.89
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.01 / $48.68 / $116.64
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$93.70 / $152.24 / $407.78
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.84 / $29.23 / $115.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.13 / $60.59 / $342.91
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
$44.35 / $95.33 / $165.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.67 / $52.26 / $85.32
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$79.23 / $79.23 / $90.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.69 / $40.56 / $96.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $72.47 / $111.32
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.28 / $43.56 / $68.06
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.16 / $27.20 / $43.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.28 / $331.79 / $605.30
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.66 / $31.91 / $34.19
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.87 / $60.87 / $60.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.80 / $168.73 / $363.47
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.31 / $44.87 / $115.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.71 / $89.29 / $200.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.78 / $47.77 / $118.49
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$94.51 / $180.44 / $465.25
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.02 / $31.14 / $64.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.30 / $118.40 / $200.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.13 / $60.59 / $342.91
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.29 / $34.29 / $34.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.17 / $93.42 / $163.46
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.31 / $51.27 / $84.39
Priority Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$79.23 / $90.51 / $90.51
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.25 / $39.14 / $81.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.47 / $46.47 / $127.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.72 / $29.72 / $50.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $46.47 / $127.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.15 / $29.72 / $50.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.43 / $16.75 / $77.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $69.56 / $125.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.93 / $38.07 / $65.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.32 / $25.78 / $59.40