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Alabama rates for HCPCS 92004

Oph Svcs Medical Xm&Eval Compre New Pt 1/> Vst

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.61 / $118.34 / $155.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$114.88 / $114.88 / $114.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.57 / $140.71 / $177.62
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$98.50 / $98.50 / $98.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.56 / $117.10 / $128.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.09 / $100.45 / $182.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.60 / $126.71 / $160.29