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West Virginia 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 $234 · 10th–90th $23–$2340%50%10th$234Professionalmedian $22 · 10th–90th $18–$270%20%10th90th$22$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $20.89 / $25.70
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $23.99 / $28.84
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $30.20
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
$18.20 / $24.55 / $45.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $37.15 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $38.02