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Indiana rates for HCPCS 92012

Oph Svcs Medical Xm&Eval Intermediate Est Pt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $72.16 / $101.37
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$77.09 / $100.45 / $144.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $74.98 / $80.63
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$80.56 / $80.56 / $80.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $55.00 / $100.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.04 / $46.38 / $64.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.59 / $80.63 / $100.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.94 / $79.94 / $79.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.81 / $65.77 / $116.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.27 / $77.66 / $112.33