go back

Iowa rates for HCPCS 92012

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

Facilitymedian $112 · 10th–90th $47–$2090%10%10th90th$112Professionalmedian $85 · 10th–90th $45–$1820%10%20%10th90th$85$50.0$100.0$200.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $83.18 / $177.83
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $91.20 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $79.43 / $169.82
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $64.57 / $199.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $112.20 / $208.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $114.82 / $331.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $151.36 / $223.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $91.20 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $83.18 / $134.90
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $107.15 / $190.55