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California rates for HCPCS 92201

Ophthalmoscopy, extended; with retinal drawing and scleral depression of peripheral retinal disease (eg, for retinal tear, retinal detachment, retinal tumor) with interpretation and report, unilateral or bilateral

Facilitymedian $28 · 10th–90th $19$480%10%10th90th$28Professionalmedian $27 · 10th–90th $19$680%20%10th90th$27$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
$19.95 / $26.92 / $67.61
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $24.55 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.20 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$30.90 / $38.02 / $48.98
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $31.62 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $29.51 / $56.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $26.30 / $36.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $25.12 / $43.65
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $204.17 / $204.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $34.67
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $41.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $30.90 / $63.10
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $83.18
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $23.44 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $44.67