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Wyoming rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.00 / $31.00 / $31.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.26 / $93.64 / $114.30
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.19 / $33.59 / $45.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.08 / $57.65 / $69.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.00 / $314.00 / $314.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.00 / $133.00 / $133.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.00 / $181.00 / $181.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $126.17 / $268.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.02 / $50.46 / $96.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.01 / $78.65 / $169.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.00 / $193.68 / $295.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.97 / $71.04 / $120.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.02 / $121.67 / $178.99