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Minnesota rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.15 / $33.15 / $33.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $78.79 / $130.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.24 / $33.15 / $48.65
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$145.96 / $145.96 / $739.58
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.49 / $45.64 / $67.19
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.35 / $27.35 / $27.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.66 / $197.46 / $263.95
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.90 / $83.37 / $111.44
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.45 / $120.87 / $152.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.70 / $113.47 / $272.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.50 / $145.02 / $239.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.72 / $61.87 / $102.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.79 / $83.14 / $137.44
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.00 / $103.55 / $214.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.19 / $114.19 / $214.88
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.72 / $48.72 / $91.68
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.47 / $65.47 / $123.20
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$145.31 / $145.31 / $145.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.41 / $180.92 / $583.91
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.81 / $66.98 / $335.18
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.59 / $114.65 / $353.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.09 / $172.69 / $309.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.81 / $65.67 / $120.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.09 / $108.37 / $208.66