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Arkansas rates for HCPCS 92012

Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.78 / $78.79 / $102.51
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$78.79 / $96.95 / $117.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.88 / $104.32 / $129.85
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$104.32 / $104.32 / $131.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.37 / $86.50 / $127.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.04 / $46.04 / $57.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.59 / $78.59 / $80.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.87 / $77.31 / $107.42
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.26 / $135.96 / $151.74
Qualchoice
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$119.67 / $119.97 / $142.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.62 / $78.87 / $115.91