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Maine 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
$16.98 / $25.12 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $25.70 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$35.48 / $38.90 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $37.15 / $50.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $26.92 / $47.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.70 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $26.92 / $38.90