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Massachusetts 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 $20 · 10th–90th $11–$310%10%10th90th$20Professionalmedian $26 · 10th–90th $18–$650%10%10th90th$26$10.0$20.0$50.0$100.0$200.0

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 / $24.55 / $64.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $25.70 / $141.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $29.51 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $41.69 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $28.18 / $64.57
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $17.78 / $30.20
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $25.12 / $39.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $38.90 / $66.07
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $56.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $25.70 / $141.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $29.51 / $64.57
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $25.12 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $29.51 / $60.26