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West Virginia rates for HCPCS 92012

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

Facilitymedian $117 · 10th–90th $12–$3310%20%10th90th$117Professionalmedian $63 · 10th–90th $40–$890%10%10th90th$63$20.0$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
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $117.49 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $63.10 / $89.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $52.48 / $64.57
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $83.18 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $64.57 / $128.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $75.86 / $79.43
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$42.66 / $74.13 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $53.70 / $89.13