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Connecticut 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
$77.62 / $154.88 / $489.78
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$147.91 / $223.87 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $141.25 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $158.49 / $363.08
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $109.65 / $208.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $114.82 / $229.09