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Michigan rates for HCPCS 92250

Fundus photography with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $151.36 / $302.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.99 / $25.70 / $30.90
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$19.05 / $112.20 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $70.79 / $134.90
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $26.30 / $66.07
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$89.13 / $234.42 / $338.84
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$30.20 / $38.02 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.13 / $26.30 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $34.67 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $26.92 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$8.32 / $8.32 / $8.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $83.18 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $154.88 / $165.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $32.36 / $32.36
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $26.30 / $26.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $25.70 / $50.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $26.30 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $77.62 / $109.65
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.01 / $22.91 / $33.11
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$3.80 / $17.78 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $70.79 / $144.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $28.84 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $38.02 / $91.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $154.88 / $239.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.99 / $56.23 / $66.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.91 / $208.93 / $275.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $72.44 / $123.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$70.79 / $70.79 / $70.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $25.12 / $60.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$89.13 / $234.42 / $338.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$30.20 / $38.02 / $151.36
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $38.90 / $81.28
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $77.62 / $109.65
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.01 / $22.91 / $33.11
Priority Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$3.80 / $17.78 / $25.12
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $67.61 / $151.36
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.78 / $25.70 / $69.18
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.79 / $37.15 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $213.80 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $69.18 / $97.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $24.55 / $35.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $44.67 / $63.10