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Rhode Island rates for HCPCS 76514

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.85 / $38.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $10.00 / $46.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.02 / $3.98 / $10.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $56.23 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $14.13 / $29.51
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.61 / $9.55 / $19.50
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.16 / $4.47 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $81.28 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.22 / $30.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $12.30 / $19.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.55 / $6.03 / $10.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.80 / $22.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $10.00 / $15.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.19 / $4.47 / $8.13