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Pennsylvania rates for HCPCS 92014

Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits

Facilitymedian $123 · 10th–90th $31$2140%10%10th90th$123Professionalmedian $135 · 10th–90th $60$2750%10%10th90th$135$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$23.99 / $44.67 / $165.96
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$51.29 / $123.03 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $134.90 / $295.12
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$30.90 / $138.04 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $229.09
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $204.17 / $295.12
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$114.82 / $144.54 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $104.71 / $173.78
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $70.79 / $154.88
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $125.89 / $204.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Highmark BCBS
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$72.44 / $79.43 / $91.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $114.82 / $141.25
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$107.15 / $114.82 / $114.82
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $229.09
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $100.00 / $158.49
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $91.20 / $251.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $77.62 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $89.13 / $154.88