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Michigan rates for HCPCS 92202

Ophthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateral

Facilitymedian $54 · 10th–90th $45–$550%50%10th90th$54Professionalmedian $15 · 10th–90th $11–$200%10%20%10th90th$15$5.0$10.0$20.0$50.0$100.0

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
$44.67 / $53.70 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $17.78 / $19.50
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $16.22 / $18.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.14 / $45.71
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $53.70 / $54.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $20.89
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $13.49 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $16.98 / $23.44