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Connecticut 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
$74.95 / $145.52 / $288.63
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$80.00 / $171.45 / $294.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.90 / $141.44 / $226.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.69 / $156.68 / $315.25
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $120.00 / $178.04
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.13 / $227.33 / $321.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.68 / $147.91 / $290.07