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Montana 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 $38 · 10th–90th $26–$420%20%10th90th$38Professionalmedian $26 · 10th–90th $19–$390%10%10th90th$26$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 / $25.12 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $35.48 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $31.62 / $39.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $39.81 / $42.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $39.81 / $42.66
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $25.12 / $38.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $34.67 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $39.81 / $53.70