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Montana rates for HCPCS 92012

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

Facilitymedian $91 · 10th–90th $59–$1550%20%10th90th$91Professionalmedian $89 · 10th–90th $49–$1510%10%20%10th90th$89$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $89.13 / $154.88
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$48.98 / $89.13 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $77.62 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $79.43 / $141.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $107.15 / $154.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $107.15 / $154.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $72.44 / $125.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $79.43 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $97.72 / $158.49
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71