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Alaska rates for HCPCS 76519

Oph Bmtry Us Echograpy A-Scan Io Lens Pwr Cal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.55 / $91.55 / $91.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.01 / $85.40 / $204.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.28 / $34.21 / $100.82
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$39.97 / $102.39 / $139.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.74 / $54.49 / $103.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $131.63 / $235.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.23 / $55.04 / $106.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.51 / $76.59 / $132.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $197.97 / $400.47
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.78 / $87.33 / $195.69
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.20 / $110.64 / $204.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.75 / $295.80 / $420.18
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.25 / $127.60 / $178.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.19 / $165.30 / $223.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.74 / $215.67 / $390.35
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.25 / $132.00 / $199.76
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.46 / $165.00 / $249.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $207.43 / $352.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.67 / $106.98 / $181.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.46 / $100.45 / $170.76