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Pennsylvania 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 $66 · 10th–90th $66–$660%50%$66Professionalmedian $15 · 10th–90th $11–$250%10%20%10th90th$15$2.0$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
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $24.55
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $17.78
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $29.51
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
$11.48 / $16.98 / $27.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $25.70
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.98 / $26.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $18.62 / $19.05
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $19.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.79 / $20.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $22.39
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $15.14 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.14 / $23.99