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Delaware rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.79 / $42.01 / $42.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $79.14 / $96.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.80 / $29.80 / $34.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.58 / $49.35 / $61.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.74 / $100.04 / $136.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.27 / $37.63 / $56.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.93 / $60.60 / $82.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.28 / $103.19 / $223.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.46 / $40.22 / $80.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.51 / $65.61 / $142.66