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Tennessee 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 / $147.91 / $338.84
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$144.54 / $229.09 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $141.25 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$177.83 / $186.21 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $147.91 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $245.47
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $1,202.26 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $107.15 / $162.18