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Wyoming 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
$46.15 / $46.15 / $47.75
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.06 / $29.06 / $29.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $82.23 / $99.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.27 / $45.34 / $73.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.81 / $34.06 / $48.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $200.00 / $200.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.00 / $126.00 / $126.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.00 / $74.00 / $74.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $121.98 / $259.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.78 / $69.81 / $145.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.79 / $52.16 / $113.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.39 / $103.77 / $299.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.99 / $61.99 / $168.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.99 / $41.78 / $130.88