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CPT 76512: A radiologist examines a two-dimensional ultrasound scan focused on the eye's tissue and structures - Prior Authorization and Price

CPT code 76512 is A radiologist examines a two-dimensional ultrasound scan focused on the eye's tissue and structures. See what Aetna, Cigna, UnitedHealthcare look for before approving it, the conditions their guidelines cover, and what it typically costs.

CPT 76512

A radiologist examines a two-dimensional ultrasound scan focused on the eye's tissue and structures.

Ultrasound
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Payer guidelines that apply

PayerReviewed usingGuidelineSections
Aetna eviCore 1 that name this code
Anthem BCBS Carelon Current guideline None found
Cigna eviCore 1 that name this code
Medicare CMS — None found
Original Medicare does not run a prior authorization program for outpatient imaging; claims are judged against the coverage policies above. Medicare Advantage plans set their own prior authorization rules.
UnitedHealthcare UnitedHealthcare / eviCore 1 that name this code

Guidelines collected from the payers' published documents on September 29, 2026. Payers revise these documents during the year. Open the guideline link to confirm the current version before you submit.

Conditions the guidelines address for this study

These are the clinical situations where payer guidelines discuss A radiologist examines a two-dimensional ultrasound scan focused on the eye's tissue and structures. Each has its own criteria for when the study is considered appropriate.

  • Screening Imaging in Cancer Predisposition Syndromes Aetna · Cigna · UnitedHealthcare

Typical price

Commercial insurance, median
$211
Middle half of rates: $137 to $357
Medicare, hospital outpatient
$107
Facility payment
Medicare, physician fee schedule
$49
National, non-facility

Commercial figures come from negotiated rates published by 554 hospitals; Medicare figures from CMS fee schedules. Rates vary widely by hospital and plan. Pricing data from CenterIQ.

Get notified when the rules for this study change

Payers update imaging guidelines several times a year. We will email you when the criteria for A radiologist examines a two-dimensional ultrasound scan focused on the eye's tissue and structures change.

Frequently asked questions

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