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Florida 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 $32 · 10th–90th $27–$360%20%40%10th90th$32Professionalmedian $24 · 10th–90th $17–$520%10%10th90th$24$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $24.55 / $45.71
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.42 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $44.67
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $31.62 / $33.88
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $21.88 / $28.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $21.88 / $33.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $25.70