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Kentucky 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 $21–$360%10%20%10th90th$28Professionalmedian $23 · 10th–90th $18–$350%10%20%10th90th$23$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $22.39 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$25.12 / $28.84 / $37.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $30.90
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $23.99 / $33.11
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
$19.50 / $28.18 / $114.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.39 / $32.36