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Ohio 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 $14 · 10th–90th $11–$180%20%10th90th$14Professionalmedian $15 · 10th–90th $12–$300%10%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.14 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $18.20 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$19.95 / $26.92 / $48.98
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $13.80 / $18.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.79 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $29.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $17.38 / $28.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.80 / $21.38