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Alaska rates for HCPCS 92081

Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $46.66 / $87.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.20 / $20.84 / $46.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.96 / $25.82 / $41.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.70 / $34.40 / $110.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.80 / $15.99 / $59.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.91 / $18.42 / $51.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.48 / $74.59 / $105.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.37 / $97.05 / $116.16
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.09 / $44.75 / $46.78
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.27 / $44.75 / $51.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $68.59 / $135.00
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.00 / $33.84 / $63.45
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.50 / $35.70 / $71.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.44 / $74.59 / $105.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $57.02 / $142.50
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.60 / $32.90 / $69.00
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.60 / $35.19 / $73.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.28 / $84.28 / $95.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.48 / $40.39 / $46.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.05 / $39.22 / $45.59