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Maine rates for HCPCS 92250

Fundus photography with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.67 / $50.67 / $51.35
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.32 / $24.32 / $28.41
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.96 / $22.96 / $26.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.27 / $70.14 / $82.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.01 / $24.32 / $32.14
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$20.68 / $34.75 / $38.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.18 / $52.99 / $58.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.43 / $45.26 / $70.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.73 / $25.33 / $38.79
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$57.64 / $67.89 / $105.87
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.04 / $20.23 / $31.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.10 / $72.06 / $125.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.44 / $32.77 / $58.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.49 / $35.76 / $67.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.37 / $45.34 / $98.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.14 / $29.49 / $57.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.20 / $24.64 / $46.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.35 / $51.35 / $51.35
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.41 / $28.41 / $28.41
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.96 / $22.96 / $22.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.38 / $62.60 / $92.18
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.01 / $24.32 / $38.40
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$15.42 / $25.34 / $38.29
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.82 / $28.14 / $63.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.83 / $96.66 / $129.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.01 / $34.14 / $44.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.82 / $50.27 / $80.83