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Maine rates for HCPCS 76514

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

Facilitymedian $115 · 10th–90th $18$1170%50%10th90th$115Professionalmedian $10 · 10th–90th $4$250%5%10%10th90th$10$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.88 / $27.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.03 / $8.91 / $19.05
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.02 / $3.98 / $8.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $10.96 / $16.22
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$16.98 / $23.99 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.72 / $5.25 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $17.38 / $28.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $12.30 / $19.05
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2.95 / $5.50 / $9.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $17.78 / $33.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $12.30 / $21.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4.37 / $6.03 / $9.77
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.80 / $26.30
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $9.12 / $17.38
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.02 / $4.37 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $19.05 / $30.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $12.59 / $18.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.80 / $6.03 / $9.77