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Montana rates for HCPCS 92002

Oph Svcs Medical Xm&Eval Intermediate New Pt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.94 / $83.23 / $111.94
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$84.68 / $84.68 / $84.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $70.45 / $133.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.49 / $78.56 / $132.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $63.33 / $96.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.67 / $78.56 / $133.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.43 / $132.72 / $158.79