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Arkansas 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
$16.22 / $18.20 / $109.65
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.75 / $12.59 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.18 / $33.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $8.13 / $26.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.00 / $3.02 / $6.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.55 / $14.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.45 / $14.45 / $14.45
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.02 / $3.02 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.80 / $17.78
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $9.12 / $11.75
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.07 / $4.68 / $6.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $7.59 / $11.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $7.76 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $19.50 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $16.98 / $22.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.76 / $11.75 / $16.22
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.34 / $4.68 / $7.24
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $45.71 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.49 / $21.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $9.33 / $15.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.16 / $3.98 / $7.24