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Iowa 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
$86.04 / $138.44 / $219.51
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$141.83 / $148.57 / $221.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $131.11 / $341.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.30 / $135.06 / $217.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.04 / $216.24 / $367.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.77 / $194.00 / $592.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.76 / $232.52 / $341.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.94 / $240.52 / $368.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.06 / $153.46 / $265.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.86 / $158.07 / $298.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.10 / $200.10 / $320.39