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North Carolina 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 $15 · 10th–90th $13–$190%20%10th90th$15Professionalmedian $15 · 10th–90th $11–$230%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
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.45 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $15.14 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $17.38 / $31.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $15.49 / $19.50
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.39 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $13.49 / $19.50
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $125.89 / $125.89