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Virginia 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
$68.00 / $137.06 / $214.73
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$127.51 / $180.18 / $538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.43 / $136.08 / $227.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.48 / $74.98 / $74.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.77 / $149.77 / $149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $130.58 / $239.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.07 / $162.44 / $194.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.61 / $129.28 / $202.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $206.00 / $274.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.69 / $108.07 / $146.32
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.57 / $159.05 / $217.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.96 / $120.35 / $189.65