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Nebraska 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
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $48.98 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $36.31 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $42.66 / $58.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $30.90 / $46.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $33.88 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $51.29 / $63.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $56.23 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $30.20 / $54.95