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Wisconsin 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 $16 · 10th–90th $11–$230%20%10th90th$16Professionalmedian $16 · 10th–90th $12–$510%10%20%10th90th$16$5.0$10.0$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
$12.88 / $12.88 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$26.30 / $44.67 / $77.62
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $18.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $26.92 / $38.02
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $15.85 / $22.91
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $32.36 / $42.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $15.85 / $22.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $21.38 / $89.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $21.38 / $67.61
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $30.20 / $46.77
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $33.11 / $97.72
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $19.05
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $51.29 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $36.31 / $74.13