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Washington 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 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $36.31 / $67.61
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $35.48 / $64.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $35.48 / $61.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $47.86 / $50.12
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $52.48 / $67.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $47.86 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $34.67 / $61.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61