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Colorado 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
Professional
Modifier
Low / Median / High Price
$68.00 / $123.94 / $224.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$133.31 / $250.54 / $387.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.48 / $152.90 / $247.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $136.69 / $217.42
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.75 / $141.15 / $212.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.84 / $177.13 / $252.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.89 / $163.80 / $255.48