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Louisiana 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
$5.89 / $18.62 / $93.33
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.91 / $8.91 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $13.49 / $32.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $8.91 / $24.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.00 / $3.98 / $6.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $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
$8.91 / $44.67 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.79 / $21.88
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $10.72 / $14.45
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.72 / $4.37 / $6.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.96 / $11.48
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $13.49 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.59 / $23.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.50 / $8.51 / $17.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.34 / $3.80 / $8.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $43.65 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.30 / $20.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.61 / $8.32 / $13.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.75 / $3.89 / $6.31