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Massachusetts 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
$84.39 / $160.78 / $375.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$146.46 / $211.02 / $390.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.73 / $105.50 / $150.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.77 / $214.41 / $592.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.04 / $196.06 / $318.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.63 / $156.88 / $361.14
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.36 / $142.22 / $241.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.05 / $233.29 / $399.70
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.13 / $135.91 / $465.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.75 / $460.75 / $460.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.36 / $209.76 / $944.28
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.18 / $125.92 / $266.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.65 / $171.53 / $354.52