go back

South Carolina rates for HCPCS 92012

Oph Svcs Medical Xm&Eval Intermediate Est Pt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $67.45 / $91.82
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$49.28 / $87.74 / $113.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $80.45 / $121.16
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$80.45 / $82.07 / $144.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $61.00 / $101.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.81 / $65.75 / $143.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.22 / $68.25 / $116.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $100.72 / $136.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.08 / $71.89 / $90.22