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Michigan rates for HCPCS 92012

Oph Svcs Medical Xm&Eval Intermediate Est Pt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.40 / $73.76 / $112.76
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$47.87 / $99.75 / $180.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.61 / $80.70 / $129.32
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$80.63 / $85.42 / $85.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.01 / $56.45 / $72.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.04 / $58.14 / $60.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.56 / $84.66 / $104.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $64.31 / $100.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $78.79 / $108.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$47.87 / $85.53 / $180.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $102.24 / $141.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.39 / $89.86 / $115.23