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Delaware 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
$68.00 / $90.16 / $139.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.56 / $107.41 / $167.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.19 / $132.19 / $216.31
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$132.71 / $132.71 / $133.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.58 / $122.64 / $162.62