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Texas 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
$32.04 / $319.89 / $377.05
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.45 / $25.05 / $39.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.61 / $82.23 / $172.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.80 / $34.18 / $95.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.23 / $165.74 / $179.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.77 / $17.77 / $45.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.29 / $38.00 / $38.00
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$56.99 / $56.99 / $56.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.51 / $276.20 / $478.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.41 / $39.81 / $62.99
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.85 / $173.97 / $225.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.24 / $61.70 / $224.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $44.45 / $48.27
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.25 / $30.41 / $31.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.67 / $124.34 / $374.98
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
$39.83 / $77.40 / $159.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.10 / $44.08 / $86.85
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.73 / $31.47 / $75.03
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.32 / $101.64 / $175.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.89 / $69.39 / $181.50
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.15 / $43.67 / $116.44
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.11 / $25.71 / $68.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.40 / $157.19 / $211.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.54 / $103.16 / $191.92
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.29 / $34.29 / $34.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $78.23 / $157.59
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.10 / $42.91 / $88.57
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.73 / $30.09 / $73.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.97 / $166.72 / $250.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.76 / $79.73 / $121.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.91 / $44.56 / $64.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.29 / $32.47 / $59.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $44.70 / $62.87
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.84 / $28.50 / $39.90
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.63 / $16.20 / $23.25