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Florida rates for HCPCS 76513

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.95 / $41.69 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $72.44 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $28.18 / $72.44
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $204.17 / $741.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $39.81 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $58.88 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $64.57 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$151.36 / $151.36 / $177.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.76 / $36.31 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $89.13 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $37.15 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $57.54 / $123.03
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.15 / $37.15 / $37.15
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $87.10 / $125.89
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $32.36 / $48.98
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $53.70 / $81.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $35.48 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $81.28 / $151.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $29.51 / $54.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $52.48 / $93.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $74.13
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $24.55 / $31.62
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $32.36 / $42.66