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Missouri 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
Facility
Modifier
25
Low / Median / High Price
$58.88 / $58.88 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $81.28 / $151.36
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$75.86 / $85.11 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $97.72 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$54.95 / $89.13 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $60.26 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $89.13 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $75.86 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $75.86 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $97.72 / $562.34
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$100.00 / $107.15 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $63.10 / $109.65