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Wisconsin rates for HCPCS 92250

Fundus Photography W/Interpretation & Report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $137.13 / $162.13
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.60 / $22.53 / $77.15
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$14.94 / $294.72 / $445.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.20 / $76.00 / $200.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.47 / $28.18 / $104.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$234.74 / $234.74 / $281.35
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$16.25 / $20.68 / $68.56
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.49 / $24.06 / $97.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.79 / $71.95 / $150.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $35.22 / $65.04
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$65.68 / $107.94 / $226.24
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.29 / $32.52 / $92.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $24.92 / $45.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $23.83 / $45.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.02 / $116.89 / $155.35
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.97 / $64.23 / $85.37
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$45.06 / $52.65 / $69.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.36 / $77.81 / $127.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.33 / $41.55 / $50.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.17 / $37.47 / $58.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.49 / $52.70 / $117.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.20 / $59.40 / $232.02
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$70.31 / $141.03 / $243.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.08 / $108.23 / $402.37
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.08 / $42.45 / $130.60
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.71 / $63.05 / $284.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $48.79 / $73.66
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.49 / $52.70 / $132.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.65 / $86.77 / $124.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.80 / $232.02 / $232.02
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$100.00 / $141.03 / $141.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.58 / $263.29 / $402.37
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.11 / $117.91 / $130.60
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.01 / $173.20 / $284.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.66 / $130.82 / $138.43
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.01 / $41.26 / $109.06
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.35 / $39.29 / $125.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $86.25 / $153.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.58 / $40.95 / $74.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.82 / $49.74 / $84.74