go back

Wisconsin rates for HCPCS 92012

Oph Svcs Medical Xm&Eval Intermediate Est Pt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.72 / $58.00 / $127.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $83.96 / $190.96
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$72.92 / $96.95 / $224.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $127.12 / $255.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.04 / $46.04 / $62.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.63 / $80.63 / $110.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.48 / $376.48 / $456.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.87 / $100.38 / $204.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.52 / $70.03 / $127.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.94 / $67.75 / $127.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $112.62 / $340.85
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$84.56 / $99.00 / $170.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.91 / $93.15 / $200.74
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.71 / $70.03 / $127.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.40 / $148.97 / $257.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.68 / $329.60 / $563.47
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.12 / $161.51 / $289.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.36 / $107.86 / $215.73