go back

Utah 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
$28.84 / $138.04 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.91 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $28.84 / $40.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $53.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $33.11 / $37.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.67 / $46.77
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $23.44 / $36.31