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Kentucky rates for HCPCS 92012

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

Facilitymedian $62 · 10th–90th $47–$790%10%20%10th90th$62Professionalmedian $72 · 10th–90th $41–$1260%10%10th90th$72$20.0$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
$41.69 / $72.44 / $123.03
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$46.77 / $97.72 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $79.43 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$74.13 / $79.43 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $47.86 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $56.23 / $69.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $81.28 / $109.65
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
$43.65 / $72.44 / $407.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $54.95 / $89.13