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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
$84.39 / $120.38 / $175.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.18 / $103.24 / $120.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $106.71 / $304.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $134.63 / $221.75