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Alaska rates for HCPCS 92250

Fundus photography with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.45 / $95.45 / $125.45
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.71 / $28.95 / $76.58
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$37.19 / $357.22 / $357.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.28 / $82.77 / $141.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.22 / $24.51 / $61.27
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$50.18 / $50.18 / $76.39
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.14 / $55.64 / $68.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.25 / $128.69 / $161.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.34 / $54.37 / $74.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.80 / $57.37 / $106.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.57 / $43.57 / $148.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.95 / $106.74 / $244.53
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.55 / $59.19 / $148.06
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.36 / $47.55 / $114.01
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.50 / $163.50 / $265.32
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.25 / $82.35 / $117.36
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.25 / $71.05 / $160.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.57 / $52.28 / $143.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.24 / $138.75 / $259.20
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.98 / $91.50 / $117.36
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.80 / $99.00 / $185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.36 / $112.86 / $140.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.72 / $59.92 / $62.35
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.93 / $52.94 / $79.79