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Montana rates for HCPCS 92250

Fundus photography with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.32 / $277.32 / $277.32
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.00 / $85.12 / $85.12
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$142.85 / $278.42 / $278.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $72.94 / $115.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$71.59 / $71.59 / $71.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.52 / $22.03 / $60.78
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$89.26 / $234.74 / $234.74
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$16.25 / $17.47 / $50.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.49 / $53.22 / $97.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.13 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.07 / $32.07 / $58.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.68 / $69.38 / $71.43
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.07 / $32.07 / $38.13
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$26.29 / $26.29 / $31.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.36 / $81.44 / $129.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.73 / $31.71 / $49.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.29 / $53.00 / $89.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $70.70 / $136.62
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.07 / $32.07 / $38.13
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$26.29 / $26.29 / $31.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $66.20 / $99.57
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.44 / $33.64 / $48.19
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.66 / $58.62 / $89.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $77.45 / $122.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.10 / $36.54 / $57.35
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.65 / $39.60 / $84.70