go back

New Hampshire rates for HCPCS 92250

Fundus photography with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.72 / $209.72 / $209.72
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.17 / $69.17 / $69.17
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$140.55 / $140.55 / $386.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $76.56 / $200.54
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
$21.89 / $23.58 / $62.41
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.42 / $85.42 / $89.26
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$27.71 / $38.29 / $40.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.04 / $55.64 / $138.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.20 / $119.20 / $119.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.58 / $47.92 / $70.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.73 / $26.57 / $38.83
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$53.37 / $71.89 / $105.07
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $21.35 / $31.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.78 / $74.70 / $151.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.75 / $37.64 / $55.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.03 / $37.07 / $83.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.26 / $67.00 / $134.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.59 / $39.08 / $69.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.14 / $29.90 / $59.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.83 / $75.38 / $124.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.01 / $31.49 / $52.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.82 / $39.68 / $85.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.74 / $49.18 / $74.12
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.64 / $20.54 / $27.00
Well Sense
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$15.83 / $19.00 / $21.37
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.07 / $26.25 / $51.00