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New York rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.49 / $44.80 / $73.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.41 / $88.17 / $249.07
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.48 / $32.57 / $76.12
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$175.64 / $197.14 / $406.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.94 / $55.25 / $105.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $91.26 / $211.01
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.56 / $34.95 / $78.22
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$110.24 / $136.88 / $314.77
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.93 / $57.03 / $132.38
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.65 / $64.83 / $110.48
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
$70.12 / $131.99 / $283.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.90 / $46.79 / $102.73
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$126.81 / $126.81 / $126.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.96 / $80.98 / $170.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.95 / $100.49 / $152.46
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.39 / $41.50 / $66.86
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.58 / $56.42 / $85.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.19 / $89.98 / $158.65
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.59 / $42.54 / $68.26
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.36 / $54.48 / $90.39
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.24 / $36.24 / $36.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.56 / $136.97 / $262.33
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.39 / $47.04 / $97.27
MVP Health Care
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$126.81 / $126.81 / $126.81
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.01 / $81.05 / $158.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.92 / $97.49 / $217.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.49 / $35.29 / $79.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.40 / $61.40 / $142.57
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.46 / $37.46 / $113.47
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.19 / $100.61 / $198.67
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.59 / $43.29 / $85.75
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.60 / $57.32 / $112.91