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Georgia 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
$83.20 / $138.44 / $252.24
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$138.44 / $190.00 / $333.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.44 / $200.16 / $252.92
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$133.44 / $195.76 / $247.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.18 / $140.15 / $269.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.03 / $117.09 / $125.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $142.63 / $185.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.08 / $138.13 / $283.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.84 / $173.47 / $620.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $178.70 / $285.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.19 / $150.86 / $241.38