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Alaska rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.47 / $98.47 / $98.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.14 / $96.27 / $228.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.80 / $36.00 / $108.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.35 / $61.46 / $119.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $150.31 / $305.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.95 / $63.93 / $125.22
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.63 / $86.38 / $180.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.33 / $216.39 / $442.13
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.63 / $93.15 / $210.59
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.70 / $123.24 / $231.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.75 / $353.60 / $544.00
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.00 / $141.00 / $204.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.75 / $221.00 / $340.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.11 / $268.80 / $540.64
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.42 / $153.00 / $227.97
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.88 / $243.60 / $388.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.81 / $269.00 / $519.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.64 / $149.91 / $212.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.59 / $180.15 / $306.26