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Missouri rates for HCPCS 92136

Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $201.99 / $290.01
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.07 / $23.37 / $31.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $80.09 / $233.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.37 / $33.02 / $78.78
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$115.34 / $209.18 / $402.38
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$17.96 / $19.79 / $42.41
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.83 / $32.58 / $156.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.30 / $86.79 / $133.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.04 / $36.01 / $54.66
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$99.45 / $130.18 / $200.22
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.87 / $54.67 / $84.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.57 / $52.57 / $135.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.84 / $33.84 / $33.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.36 / $91.73 / $171.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.02 / $41.51 / $65.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.89 / $52.49 / $105.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.29 / $76.87 / $205.31
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.52 / $134.74 / $134.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $83.66 / $459.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.13 / $37.99 / $188.73
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.58 / $46.89 / $313.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.17 / $70.37 / $126.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.04 / $33.35 / $55.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.92 / $38.11 / $65.77