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South Dakota rates for HCPCS 76514

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

Facilitymedian $22 · 10th–90th $6$2690%20%10th90th$22Professionalmedian $10 · 10th–90th $5$250%10%10th90th$10$5.0$20.0$100.0$500.0

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
$5.62 / $51.29 / $269.15
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $36.31
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.03 / $7.94 / $16.60
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.02 / $3.02 / $6.31
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.12 / $31.62
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $17.38 / $21.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6.31 / $7.94 / $10.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $25.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $23.99 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $15.85 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.98 / $8.32 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.18 / $28.18
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $18.62 / $18.62
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$7.76 / $9.55 / $9.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.50 / $25.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $13.18 / $16.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4.57 / $6.76 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $20.89 / $30.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $13.80 / $20.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.89 / $6.17 / $10.23
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.44 / $23.44
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $15.85 / $15.85
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6.46 / $7.76 / $7.76