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Montana rates for HCPCS 76513

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

Facilitymedian $50 · 10th–90th $50$620%20%40%90th$50Professionalmedian $76 · 10th–90th $33$2400%5%10th90th$76$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $109.65 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $34.67 / $87.10
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
$38.02 / $56.23 / $107.15
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $117.49 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $50.12 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $70.79 / $141.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $131.83 / $218.78
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $61.66
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $141.25 / $199.53
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $50.12 / $72.44
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $70.79 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $102.33 / $177.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $37.15 / $64.57
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $64.57 / $112.20