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Maine rates for HCPCS 92136

Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.34 / $80.84 / $92.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.33 / $31.46 / $47.33
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$26.14 / $35.17 / $46.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.72 / $56.22 / $61.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $60.64 / $89.66
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.10 / $36.54 / $56.59
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$73.90 / $90.96 / $134.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.17 / $24.08 / $33.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.72 / $91.48 / $142.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.40 / $44.30 / $75.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.60 / $37.03 / $75.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $58.12 / $103.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.69 / $48.53 / $71.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.43 / $25.68 / $38.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.92 / $75.23 / $93.29
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.33 / $34.78 / $47.73
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$26.14 / $35.17 / $43.23
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.19 / $35.18 / $62.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.38 / $114.57 / $148.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.46 / $44.09 / $60.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.34 / $67.12 / $92.62