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Delaware 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

Professionalmedian $21 · 10th–90th $17$270%20%10th90th$21$10.0$20.0$50.0

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
$16.98 / $20.89 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $23.44 / $28.84
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $20.89 / $26.30