go back

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $67.61
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$52.48 / $52.48 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $23.99 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $30.20 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$24.55 / $38.02 / $48.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $31.62 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $29.51 / $56.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $26.30 / $36.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $26.30 / $42.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $204.17 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $34.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $27.54 / $42.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.90 / $58.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $83.18
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $23.44 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $21.88 / $40.74