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North Dakota rates for HCPCS 76513

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

Facilitymedian $36 · 10th–90th $33$580%20%40%10th90th$36Professionalmedian $68 · 10th–90th $29$1910%5%10th90th$68$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
$33.11 / $36.31 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $77.62 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $31.62 / $63.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $46.77 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $173.78 / $190.55
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $74.13 / $83.18
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$257.04 / $346.74 / $380.19
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $97.72 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $141.25 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $51.29 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $81.28 / $114.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $173.78 / $588.84
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $64.57 / $338.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $107.15 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $144.54 / $229.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $57.54 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $89.13 / $144.54