go back

Vermont rates for HCPCS 76513

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $91.20 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $34.67 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.02 / $56.23 / $72.44
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $134.90 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $48.98 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $83.18 / $199.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $97.72 / $316.23
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $38.02 / $134.90
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $60.26 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $257.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $42.66 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $74.13 / $151.36