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California rates for HCPCS 92015

Determination of refractive state

Facilitymedian $22 · 10th–90th $15$650%10%20%10th90th$22Professionalmedian $31 · 10th–90th $18$760%10%10th90th$31$5.0$10.0$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
$17.78 / $30.90 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $18.62 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $27.54 / $85.11
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $37.15 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $26.30 / $75.86
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $40.74
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $389.05 / $389.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $27.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $23.44 / $58.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $28.18 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $19.05 / $45.71