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Pennsylvania 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
$13.18 / $42.66 / $125.89
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.32 / $22.39 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.49 / $37.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $9.12 / $33.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$11.48 / $12.30 / $12.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.00 / $3.98 / $10.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.77 / $16.98
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $5,011.87 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.48 / $27.54
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $7.94 / $21.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.47 / $3.63 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $10.23 / $63.10
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1.86 / $8.71 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $15.14 / $25.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.31 / $10.72 / $16.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.69 / $4.47 / $8.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $16.22 / $19.95
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.61 / $10.47 / $12.59
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.55 / $5.37 / $7.24
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.79 / $24.55
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $10.47 / $16.60
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.09 / $4.27 / $7.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $63.10 / $91.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $37.15 / $114.82
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.32 / $20.42 / $32.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.49 / $36.31
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.17 / $9.77 / $22.91
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$11.48 / $12.30 / $29.51
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.02 / $4.57 / $9.55
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $23.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.89 / $29.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $14.45 / $23.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.59 / $8.91 / $8.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $10.96 / $23.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $7.76 / $8.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.39 / $3.55 / $3.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $81.28 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.30 / $20.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.61 / $8.91 / $14.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.75 / $3.98 / $6.92