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Oregon rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.89 / $68.16 / $163.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.69 / $93.64 / $188.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.77 / $36.00 / $85.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.36 / $58.82 / $119.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.89 / $177.10 / $263.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.10 / $68.70 / $99.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.19 / $107.38 / $155.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.02 / $166.67 / $201.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.54 / $72.08 / $84.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.16 / $94.98 / $117.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.01 / $155.68 / $227.73
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.23 / $62.72 / $101.84
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.78 / $90.25 / $134.74
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.00 / $63.24 / $68.34
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.41 / $58.00 / $71.25
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.54 / $92.22 / $119.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.76 / $178.86 / $230.15
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.58 / $70.23 / $99.14
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.05 / $108.01 / $155.83
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$385.75 / $385.75 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.26 / $180.41 / $240.30
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.75 / $75.45 / $92.10
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.27 / $106.67 / $138.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.31 / $101.41 / $248.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.25 / $39.78 / $101.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.15 / $64.59 / $149.28