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Tennessee 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
$40.32 / $129.88 / $335.44
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.81 / $48.92 / $178.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.32 / $55.14 / $112.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.81 / $35.43 / $76.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$94.51 / $94.51 / $146.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.50 / $19.70 / $44.81
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.55 / $83.55 / $83.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.39 / $96.94 / $163.18
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.26 / $58.61 / $96.14
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.57 / $40.51 / $67.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.17 / $72.56 / $151.72
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
$42.27 / $85.96 / $159.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.48 / $46.13 / $90.12
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$90.51 / $90.51 / $90.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.95 / $34.68 / $72.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.40 / $338.68 / $338.68
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.26 / $198.78 / $198.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.45 / $679.24 / $679.24
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$335.18 / $335.18 / $335.18
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$404.98 / $417.13 / $417.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.02 / $154.10 / $252.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.92 / $87.73 / $135.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.91 / $46.13 / $81.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.29 / $32.36 / $60.42