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Maine rates for HCPCS 92002

Oph Svcs Medical Xm&Eval Intermediate New Pt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.27 / $86.45 / $159.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.43 / $68.06 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.07 / $86.63 / $163.27
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.06 / $97.43 / $145.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.42 / $73.52 / $137.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.43 / $94.79 / $159.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.43 / $106.07 / $144.81