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Nebraska rates for HCPCS 92004

Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits

Facilitymedian $158 · 10th–90th $91$2690%10%10th90th$158Professionalmedian $166 · 10th–90th $87$3310%10%10th90th$166$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $141.25 / $323.59
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$316.23 / $316.23 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $281.84 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$186.21 / $186.21 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $173.78 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $131.83 / $323.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $158.49 / $295.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $275.42 / $371.54
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$151.36 / $288.40 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $363.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $269.15 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $134.90 / $309.03