go back

Louisiana 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
$87.75 / $140.71 / $182.97
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$32.11 / $161.26 / $166.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.73 / $100.73 / $200.06
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$158.46 / $158.46 / $158.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.24 / $141.60 / $179.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.96 / $116.96 / $116.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $121.12 / $199.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.26 / $126.54 / $185.58