go back

Minnesota 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
$88.36 / $141.30 / $308.72
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$88.34 / $167.22 / $341.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.02 / $242.28 / $414.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.62 / $377.98 / $540.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.86 / $238.66 / $457.77
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.62 / $343.62 / $425.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.12 / $222.75 / $400.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.56 / $178.71 / $311.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.61 / $220.20 / $463.33
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$182.00 / $279.55 / $400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.81 / $190.83 / $351.12