go back

South Dakota rates for HCPCS 92250

Fundus photography with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.36 / $41.36 / $277.32
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.01 / $23.01 / $23.01
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$18.35 / $278.42 / $408.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.63 / $75.25 / $188.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.67 / $22.01 / $56.96
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$18.82 / $18.82 / $20.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.01 / $53.22 / $120.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.30 / $77.88 / $95.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.54 / $42.57 / $53.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.86 / $34.69 / $42.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.33 / $69.90 / $168.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.73 / $86.22 / $402.37
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.44 / $35.25 / $130.60
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.49 / $57.58 / $284.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.53 / $90.66 / $116.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $96.83 / $137.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.05 / $71.16 / $128.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.70 / $34.61 / $39.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.63 / $31.70 / $89.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $59.53 / $132.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.39 / $27.24 / $44.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.80 / $29.99 / $93.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.80 / $79.80 / $82.90
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.60 / $44.20 / $46.00
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $35.50 / $36.90