go back

Maine rates for HCPCS 92012

Oph Svcs Medical Xm&Eval Intermediate Est Pt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.90 / $90.75 / $140.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.48 / $75.18 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.50 / $90.00 / $171.52
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.84 / $115.28 / $175.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $81.22 / $144.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.52 / $96.35 / $127.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.15 / $105.55 / $160.04