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North Dakota 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
$10.96 / $20.42 / $51.29
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.08 / $7.94 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $7.59 / $16.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.00 / $3.02 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.30 / $28.84
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $17.78 / $19.95
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.46 / $8.51 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $19.05 / $28.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $12.59 / $19.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.24 / $6.17 / $9.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $17.78 / $31.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $23.99 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $15.85 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.98 / $7.59 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $21.38 / $30.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $14.13 / $20.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.39 / $6.92 / $10.00