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Georgia rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $120 · 10th–90th $26$4170%5%10%10th90th$120Professionalmedian $44 · 10th–90th $18$1150%10%10th90th$44$1.0$5.0$20.0$100.0$500.0

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
$58.88 / $120.23 / $416.87
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.05 / $27.54 / $43.65
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $208.93 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $64.57 / $141.25
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$50.12 / $69.18 / $70.79
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $25.70 / $57.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$77.62 / $95.50 / $234.42
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$26.92 / $41.69 / $87.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $23.44 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $42.66 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $27.54 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.47
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $67.61 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $24.55 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$58.88 / $102.33 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $42.66 / $83.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $29.51 / $54.95
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.44 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $75.86 / $131.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $30.20 / $51.29
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $45.71 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $48.98 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $26.92 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$25.70 / $25.70 / $34.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $22.39 / $147.91
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $707.95 / $707.95
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $36.31 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $66.07 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $67.61 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $25.70 / $43.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $35.48 / $74.13