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Mississippi 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
$85.96 / $137.57 / $210.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$150.00 / $150.00 / $230.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.52 / $176.52 / $180.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $162.00 / $162.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.07 / $133.15 / $239.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.43 / $137.38 / $163.35