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Indiana rates for HCPCS 76513

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

Facilitymedian $38 · 10th–90th $30$540%20%10th90th$38Professionalmedian $60 · 10th–90th $29$1580%5%10th90th$60$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
$29.51 / $38.02 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $77.62 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $30.20 / $60.26
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$173.78 / $204.17 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $41.69 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $97.72 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $45.71 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $147.91 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $52.48 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $107.15 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $42.66 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $64.57 / $117.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $95.50 / $162.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $37.15 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $60.26 / $100.00