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Montana rates for HCPCS 76514

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

Facilitymedian $20 · 10th–90th $13$400%20%10th90th$20Professionalmedian $12 · 10th–90th $5$320%10%20%10th90th$12$2.0$20.0$200.0$2.0K$20.0K

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
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.18 / $33.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $9.12 / $25.70
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$11.48 / $11.48 / $12.30
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.02 / $4.47 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $8.32 / $23.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $12.02 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.78 / $29.51
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $12.02 / $19.05
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2.82 / $5.75 / $10.23
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.95 / $25.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.95 / $25.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $18.20 / $27.54
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $12.02 / $14.79
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $21.38 / $30.90
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $12.02 / $17.78
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.55 / $5.89 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $14.79 / $23.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $9.55 / $15.85
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.98 / $4.79 / $8.13