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North Dakota 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
$89.10 / $142.40 / $227.84
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$141.30 / $141.30 / $141.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.87 / $284.37 / $374.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.47 / $133.88 / $315.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.86 / $128.97 / $256.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.76 / $219.78 / $372.00
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$256.00 / $256.00 / $285.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.16 / $185.58 / $299.18