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North Carolina rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.48 / $35.50 / $56.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.02 / $79.14 / $179.30
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.21 / $29.80 / $52.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$217.92 / $217.92 / $217.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.54 / $47.00 / $79.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.25 / $88.25 / $88.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.89 / $67.75 / $98.30
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.67 / $109.14 / $161.11
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.24 / $36.24 / $36.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.18 / $127.44 / $235.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.31 / $50.53 / $89.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.28 / $79.62 / $144.27
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.00 / $48.09 / $79.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $115.52 / $269.95
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.09 / $48.09 / $58.00
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$173.28 / $246.00 / $404.95
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.49 / $153.49 / $153.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $142.30 / $201.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.05 / $115.03 / $218.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.29 / $43.01 / $88.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.06 / $71.06 / $129.19
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.26 / $161.31 / $161.31
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.17 / $603.17 / $618.45
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$335.18 / $335.18 / $335.18
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$360.07 / $360.07 / $360.45