go back

Nebraska 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
$5.62 / $14.13 / $269.15
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.42 / $28.84 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.14 / $40.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $8.32 / $32.36
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$11.48 / $29.51 / $29.51
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.29 / $3.89 / $9.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.71 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $8.51 / $15.14
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
$35.48 / $83.18 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $20.42 / $21.88
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $14.13 / $15.14
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5.89 / $6.31 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $21.38 / $31.62
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.17 / $15.85 / $21.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.69 / $6.46 / $10.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $19.05 / $109.65
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $18.62 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $12.59 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.72 / $5.75 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $23.99 / $38.90
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $16.60 / $26.30
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.46 / $7.76 / $12.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.66 / $42.66 / $42.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $20.89 / $26.30
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $15.85 / $18.20
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.00 / $6.46 / $12.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $29.51 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $25.12 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $17.78 / $27.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $12.59 / $19.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.55 / $5.37 / $8.51