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Missouri rates for HCPCS 76513

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

Facilitymedian $72 · 10th–90th $27$1000%20%10th90th$72Professionalmedian $63 · 10th–90th $29$1910%5%10th90th$63$10.0$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
$26.92 / $72.44 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $85.11 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $30.90 / $67.61
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
$33.11 / $43.65 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $107.15 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $42.66 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$134.90 / $158.49 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $64.57 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $85.11 / $125.89
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $38.02 / $53.70
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $47.86 / $74.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.76 / $36.31 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $109.65 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $42.66 / $87.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $66.07 / $123.03
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $144.54 / $144.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $123.03 / $588.84
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $45.71 / $338.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $74.13 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $104.71 / $162.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $38.90 / $63.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $64.57 / $97.72