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Wisconsin rates for HCPCS 76514

Ophthalmic Us Dx Corneal Pachymetry Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.67 / $92.30 / $135.85
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.51 / $16.00 / $16.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $17.47 / $75.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.02 / $9.27 / $18.20
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$11.36 / $11.36 / $11.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.17 / $4.72 / $7.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $20.21 / $69.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.43 / $13.96 / $45.72
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$16.12 / $32.72 / $103.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.33 / $6.30 / $21.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $9.75 / $14.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $9.19 / $14.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $33.70 / $51.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.82 / $23.17 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $39.04 / $44.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.82 / $26.94 / $30.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.53 / $12.14 / $13.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.06 / $16.67 / $36.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.06 / $16.67 / $109.11
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $26.39 / $1,428.44
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.38 / $18.21 / $1,274.28
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.97 / $8.52 / $988.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $28.13 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.06 / $16.67 / $32.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $26.82 / $47.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.53 / $109.11 / $109.11
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.30 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $57.25 / $1,428.44
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.34 / $39.54 / $1,274.28
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5.11 / $17.70 / $988.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $69.59 / $69.59
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.17 / $28.36 / $53.12
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.03 / $14.53 / $31.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.63 / $62.63 / $80.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $23.47 / $48.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.19 / $17.46 / $34.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.97 / $7.34 / $15.51