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Louisiana rates for HCPCS 92250

Fundus Photography W/Interpretation & Report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.95 / $106.28 / $361.17
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.94 / $24.84 / $55.02
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$24.99 / $304.11 / $375.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.49 / $60.28 / $85.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.51 / $24.51 / $32.14
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$12.46 / $24.48 / $30.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.79 / $26.55 / $55.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.18 / $56.18 / $56.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.26 / $22.26 / $22.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.38 / $215.36 / $345.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.29 / $41.36 / $99.42
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.85 / $23.60 / $35.54
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.46 / $17.78 / $68.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $48.29 / $48.29
Christus
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$15.91 / $15.91 / $40.00
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.07 / $21.52 / $21.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.91 / $42.91 / $42.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.30 / $47.54 / $94.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.01 / $24.64 / $39.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.30 / $20.99 / $56.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.04 / $52.70 / $92.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.05 / $22.32 / $37.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.25 / $29.19 / $62.11