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Alaska rates for HCPCS 76513

Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral

Facilitymedian $102 · 10th–90th $102$1020%50%100%$102Professionalmedian $78 · 10th–90th $30$2690%5%10th90th$78$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $93.33 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $33.11 / $100.00
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$173.78 / $204.17 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $48.98 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $144.54 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $52.48 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $85.11 / $158.49
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $223.87 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $97.72 / $186.21
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$173.78 / $204.17 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $120.23 / $181.97
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $346.74 / $549.54
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $138.04 / $204.17
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $218.78 / $346.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $144.54 / $234.42
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $45.71 / $125.89
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $70.79 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $245.47 / $524.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $100.00 / $213.80
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $144.54 / $309.03