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West Virginia 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 $372 · 10th–90th $115–$4370%20%40%10th90th$372Professionalmedian $117 · 10th–90th $74–$1550%10%10th90th$117$50.0$100.0$200.0$500.0

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
$371.54 / $371.54 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $117.49 / $151.36
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $97.72 / $120.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $141.25 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $120.23 / $229.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $123.03 / $131.83
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$117.49 / $128.82 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $102.33 / $158.49