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Montana rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $83 · 10th–90th $48$2750%20%10th90th$83Professionalmedian $62 · 10th–90th $22$1150%10%20%10th90th$62$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$275.42 / $275.42 / $275.42
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $85.11 / $85.11
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $275.42 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $70.79 / $114.82
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
$21.88 / $33.11 / $64.57
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $29.51 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $58.88 / $134.90
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$32.36 / $32.36 / $38.02
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $26.30 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $87.10 / $128.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $31.62 / $54.95
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $46.77 / $77.62
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $64.57 / $128.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $64.57 / $128.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $70.79 / $138.04
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$32.36 / $32.36 / $38.02
Providence
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $26.30 / $30.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $91.20 / $114.82
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $32.36 / $47.86
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $31.62 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $77.62 / $125.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $36.31 / $40.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $42.66 / $87.10