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New York 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 $32 · 10th–90th $16–$360%50%10th90th$32Professionalmedian $26 · 10th–90th $17–$520%10%10th90th$26$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$31.62 / $39.81 / $104.71
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $30.20 / $66.07
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $32.36 / $47.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $26.30 / $51.29
Fidelis
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $29.51 / $30.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $29.51 / $29.51
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $34.67 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $23.99 / $51.29
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.91 / $51.29