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Wyoming 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
$63.00 / $144.00 / $210.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$91.77 / $167.25 / $176.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $166.00 / $267.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.04 / $124.24 / $211.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.96 / $190.83 / $258.10