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Texas 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
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $24.55 / $43.65
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$107.15 / $107.15 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $24.55 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $169.82 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.95 / $35.48
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $29.51 / $40.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $23.99 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $26.92 / $42.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $154.88 / $204.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $23.99 / $34.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.91 / $39.81
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$107.15 / $107.15 / $107.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $22.91 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.12 / $50.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $23.44 / $33.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $27.54 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $23.44 / $33.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $24.55 / $25.12