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Arkansas rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.80 / $50.70 / $56.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.37 / $91.55 / $114.30
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.30 / $34.79 / $47.27
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.07 / $56.75 / $70.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.07 / $125.83 / $139.81
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.88 / $48.81 / $54.23
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.19 / $77.02 / $85.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.48 / $120.14 / $167.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.33 / $48.99 / $64.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.11 / $71.28 / $101.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.98 / $108.28 / $167.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.13 / $38.65 / $64.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.18 / $64.59 / $98.62