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Washington 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
$57.32 / $159.71 / $561.60
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.52 / $68.53 / $185.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $90.20 / $192.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.39 / $48.42 / $134.60
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.23 / $179.00 / $284.39
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.18 / $36.89 / $89.68
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.70 / $323.56 / $446.81
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.02 / $198.78 / $198.78
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.70 / $118.83 / $659.45
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.89 / $76.63 / $335.18
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.65 / $109.45 / $294.58
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.32 / $47.11 / $404.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.44 / $359.42 / $498.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.97 / $115.10 / $174.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.82 / $65.34 / $101.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.36 / $47.65 / $77.70
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.04 / $141.41 / $245.36
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.98 / $86.46 / $151.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.66 / $138.91 / $215.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.54 / $80.90 / $116.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.47 / $60.32 / $96.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $65.14 / $147.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.63 / $96.48 / $175.54
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.49 / $59.75 / $100.50
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.86 / $72.98 / $100.50
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.48 / $54.74 / $76.63
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.57 / $63.87 / $65.81
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.32 / $40.32 / $41.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.72 / $111.46 / $136.11
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.40 / $69.66 / $85.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.90 / $41.75 / $51.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.02 / $304.02 / $592.49
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.14 / $95.11 / $135.49
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.12 / $59.86 / $84.46
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.02 / $35.50 / $50.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.31 / $90.34 / $145.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.11 / $51.39 / $85.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.67 / $37.40 / $60.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.99 / $52.99 / $52.99
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.19 / $32.19 / $32.19
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.80 / $20.80 / $20.80