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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.12 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $35.48 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $31.62 / $39.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $39.81 / $42.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $39.81 / $42.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $25.12 / $38.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $34.67 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $45.71