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Arizona rates for HCPCS 90792

Psychiatric diagnostic evaluation with medical services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.57 / $142.27 / $167.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.84 / $153.00 / $206.26
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$172.37 / $172.37 / $172.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.97 / $167.37 / $220.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.42 / $116.42 / $142.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.88 / $187.42 / $234.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.49 / $280.49 / $280.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $174.83 / $324.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.09 / $175.75 / $277.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.10 / $185.12 / $1,234.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.45 / $160.56 / $300.00