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Michigan rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $115 · 10th–90th $24$2950%5%10%10th90th$115Professionalmedian $56 · 10th–90th $19$1150%5%10th90th$56$5.0$10.0$20.0$50.0$100.0$200.0$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
$53.70 / $151.36 / $302.00
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $25.70 / $30.90
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $112.20 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $70.79 / $131.83
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $26.30 / $67.61
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$95.50 / $234.42 / $338.84
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$30.20 / $38.02 / $70.79
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $32.36 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $35.48 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.05 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $81.28 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $131.83 / $165.96
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $26.92 / $56.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $26.92 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $70.79 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $26.30 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $36.31 / $85.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $154.88 / $239.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $56.23 / $66.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $208.93 / $275.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $72.44 / $123.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $26.30 / $60.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $234.42 / $338.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$30.20 / $38.02 / $60.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $39.81 / $79.43
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $64.57 / $128.82
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $25.12 / $45.71
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $32.36 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $177.83 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $66.07 / $102.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $25.12 / $38.02
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $39.81 / $64.57