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Arizona 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
$3.72 / $77.62 / $95.50
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $33.88 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.14 / $50.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $9.12 / $36.31
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$11.48 / $11.48 / $12.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.00 / $3.98 / $14.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.51 / $14.79
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
$2.51 / $8.13 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.47 / $18.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.17 / $6.92 / $12.02
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.24 / $3.63 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $18.20 / $75.86
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1.86 / $8.71 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.79 / $26.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.61 / $10.00 / $17.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.02 / $4.57 / $8.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $13.80 / $28.18
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.78 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.79 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $9.77 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.63 / $4.90 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $20.89 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $13.49 / $19.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $9.55 / $13.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.55 / $4.07 / $6.61