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New Hampshire rates for HCPCS 76514

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

Facilitymedian $46 · 10th–90th $12$710%20%10th90th$46Professionalmedian $12 · 10th–90th $5$250%5%10th90th$12$2.0$5.0$10.0$20.0$50.0$100.0

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
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $9.33 / $19.50
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.02 / $4.27 / $9.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $16.60 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $11.22 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$17.38 / $25.12 / $35.48
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.98 / $5.37 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $70.79 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.95 / $33.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $13.80 / $22.39
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.47 / $6.61 / $11.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $16.60 / $30.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $14.13 / $20.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4.68 / $6.03 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.60 / $40.74
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $10.96 / $24.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4.07 / $5.62 / $13.80
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $10.23 / $11.22
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.31 / $6.92 / $7.59