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New Jersey rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $214 · 10th–90th $37$3630%10%20%10th90th$214Professionalmedian $42 · 10th–90th $17$1070%10%10th90th$42$5.0$20.0$100.0$500.0$2.0K

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
$75.86 / $234.42 / $363.08
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.91 / $37.15 / $37.15
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $51.29 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $56.23 / $138.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $23.99 / $58.88
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$77.62 / $81.28 / $89.13
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$16.60 / $151.36 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $26.30 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $37.15 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$8.32 / $10.23 / $10.47
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $109.65 / $3,630.78
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $53.70 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $77.62
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $77.62 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $27.54 / $46.77
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $48.98 / $93.33
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $57.54 / $74.13
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $30.90 / $39.81
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $26.30 / $33.88
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $436.52 / $660.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $44.67 / $128.82
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $28.84 / $57.54
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $43.65 / $112.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $74.13 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $46.77 / $100.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $22.91 / $39.81
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.30 / $26.30 / $66.07