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Vermont rates for HCPCS 76514

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $50.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $9.12 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.02 / $3.98 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.89 / $47.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.62 / $13.18 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.37 / $7.24 / $16.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.30 / $47.86
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $8.51 / $32.36
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.63 / $3.89 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $32.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $10.00 / $20.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.47 / $4.37 / $9.77