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Alaska rates for HCPCS 76514

Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.88 / $33.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $7.94 / $23.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.88 / $3.98 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $22.91 / $39.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $15.85 / $27.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.69 / $7.24 / $13.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $20.42 / $36.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $33.88 / $52.48
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $22.91 / $38.02
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.31 / $11.75 / $15.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $51.29 / $77.62
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $33.11 / $51.29
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.79 / $16.60 / $26.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $19.05 / $36.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $20.89 / $38.02
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $11.75 / $29.51
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.55 / $5.89 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $42.66 / $64.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $28.18 / $46.77
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.07 / $12.88 / $19.05