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Arizona rates for HCPCS 76513

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

Facilitymedian $138 · 10th–90th $100$1510%20%10th90th$138Professionalmedian $65 · 10th–90th $29$1950%5%10th90th$65$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $138.04 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $87.10 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $33.11 / $125.89
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$144.54 / $295.12 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $46.77 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $70.79 / $125.89
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $28.84 / $51.29
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $42.66 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $102.33 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $38.90 / $69.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $61.66 / $114.82
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $144.54 / $144.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $102.33 / $588.84
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $37.15 / $338.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $64.57 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $97.72 / $158.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $37.15 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $63.10 / $97.72