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Massachusetts rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.14 / $27.14 / $99.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.09 / $85.29 / $130.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.14 / $32.57 / $51.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$261.05 / $261.05 / $261.05
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.46 / $49.35 / $79.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.77 / $79.51 / $161.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $140.44 / $603.17
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.34 / $51.44 / $335.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.66 / $92.23 / $360.07
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$86.96 / $86.96 / $139.63
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.97 / $57.97 / $93.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.37 / $139.93 / $255.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.28 / $54.79 / $96.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.32 / $89.93 / $164.28
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $68.70 / $132.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $172.82 / $238.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.32 / $76.98 / $102.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.02 / $103.12 / $136.04
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.77 / $161.31 / $161.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.30 / $141.84 / $603.17
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.79 / $50.52 / $335.18
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.66 / $92.23 / $360.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.25 / $128.21 / $206.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.24 / $47.68 / $86.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.87 / $78.40 / $145.05