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Texas 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
$4.79 / $51.29 / $112.20
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3.98 / $5.37 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.18 / $33.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.37 / $7.94 / $26.30
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$11.48 / $11.48 / $29.51
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.00 / $3.39 / $6.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.55 / $14.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1.82 / $1.82 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.02 / $3.02 / $5.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $61.66 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $9.33 / $14.13
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $51.29 / $147.91
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.80 / $18.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.96 / $11.48
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $18.20 / $53.70
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
$9.55 / $14.13 / $26.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.46 / $9.77 / $17.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.95 / $4.37 / $9.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$977.24 / $977.24 / $977.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $15.14 / $28.84
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3.98 / $5.01 / $6.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.80 / $33.88
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $9.12 / $19.05
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$11.48 / $11.48 / $12.30
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.00 / $4.47 / $8.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $11.22 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $29.51 / $34.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $15.85 / $28.84
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1.86 / $8.71 / $12.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $13.80 / $28.18
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.46 / $8.91 / $17.38
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.02 / $3.98 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $45.71 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.49 / $21.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $9.55 / $15.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.39 / $4.37 / $7.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.02 / $14.13
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $7.76 / $9.33
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.80 / $4.07 / $4.79