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Rhode Island rates for HCPCS 92004

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $123.03 / $257.04
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$338.84 / $346.74 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $77.62 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $107.15 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $114.82 / $213.80