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Nationwide rates for HCPCS 92004

Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $125.89 / $371.54
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$117.49 / $147.91 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $144.54 / $316.23
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$131.83 / $177.83 / $363.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$128.82 / $128.82 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $131.83 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $151.36 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $134.90 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $89.13 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $114.82 / $194.98