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Virginia 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
Professional
Modifier
Low / Median / High Price
$40.00 / $75.51 / $135.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$78.79 / $103.23 / $150.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.59 / $80.27 / $131.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $40.31 / $40.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.94 / $79.94 / $79.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.60 / $71.92 / $132.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.09 / $97.75 / $117.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.40 / $69.30 / $115.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $117.12 / $161.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.95 / $55.14 / $76.06
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.08 / $90.24 / $129.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.34 / $69.62 / $113.86