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Detailed Retina Drawing and Evaluation, Initial

New Mexico rates for HCPCS 92225

This covers a detailed hand-drawn or documented examination of the back of the eye, focused on the retina, performed with pupil dilation and specialized lenses. It is used to closely evaluate conditions such as a retinal tear, detachment, or a suspicious growth, going beyond a routine eye exam. This is the version performed as the first evaluation of the condition being tracked.

Rates data updated July 2026.

Professionalmedian $44 · 10th–90th $35$850%20%40%10th90th$44$50.0

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$43.65
Typical High
$54.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11