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Missouri rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $123 · 10th–90th $18$2880%10%10th90th$123Professionalmedian $44 · 10th–90th $16$1070%5%10th90th$44$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
$30.90 / $177.83 / $269.15
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.85 / $28.18 / $34.67
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $213.80 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $64.57 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $23.99 / $56.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$95.50 / $281.84 / $436.52
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$26.92 / $87.10 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.02 / $19.05 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $35.48 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $29.51 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $13.80 / $16.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $70.79 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $26.92 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$67.61 / $104.71 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $45.71 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $93.33
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $26.30 / $33.88
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $20.42 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $117.49
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.01 / $22.91 / $33.11
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$3.80 / $17.78 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $74.13 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $30.20 / $51.29
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $40.74 / $89.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $57.54 / $173.78
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $141.25 / $141.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $74.13 / $398.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $26.92 / $131.83
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $46.77 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $77.62 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $51.29 / $100.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $22.91 / $38.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $26.30 / $58.88