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Detailed Retina Drawing and Evaluation, Initial

Wisconsin 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.

Facilitymedian $117 · 10th–90th $117$1450%20%40%90th$117Professionalmedian $55 · 10th–90th $23$2690%10%20%10th90th$55$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$42.66
Typical High
$66.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$70.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$269.15
Typical High
$269.15