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Rhode Island rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$218.50 / $218.50 / $218.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.20 / $87.42 / $93.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.14 / $31.64 / $34.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.06 / $54.39 / $55.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.20 / $93.19 / $195.18
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.94 / $39.90 / $69.03
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.29 / $53.28 / $53.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.70 / $113.21 / $203.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.65 / $47.04 / $73.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.52 / $69.93 / $130.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $115.72 / $169.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.11 / $45.25 / $62.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.41 / $71.06 / $117.92