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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

Professionalmedian $25 · 10th–90th $17–$480%10%10th90th$25$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
$16.98 / $25.12 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $27.54 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$35.48 / $41.69 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $36.31 / $50.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $26.92 / $47.86
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $28.18 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.30 / $38.90