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Arizona 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
$24.37 / $34.17 / $55.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.45 / $15.61 / $19.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.92 / $17.77 / $35.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.70 / $31.70 / $31.70
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.04 / $18.04 / $18.04
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.02 / $20.02 / $20.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.81 / $29.81 / $32.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.84 / $26.84 / $32.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.64 / $12.64 / $15.10
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.20 / $14.20 / $16.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.05 / $40.78 / $72.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.14 / $16.50 / $26.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.41 / $21.98 / $46.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.09 / $34.86 / $64.37
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.40 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.15 / $44.48 / $354.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.03 / $17.16 / $98.32
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.04 / $27.55 / $180.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.50 / $41.15 / $58.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $16.10 / $24.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.70 / $24.24 / $35.09