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California rates for HCPCS 92081

Limited Visual Field Xm Uni/Bi I&R

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $49.38 / $84.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.52 / $15.62 / $24.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.77 / $31.51 / $51.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.30 / $31.30 / $31.30
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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.93 / $50.74 / $115.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.20 / $19.38 / $59.92
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.53 / $30.37 / $70.34
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.88 / $266.33 / $322.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.61 / $46.60 / $63.55
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.63 / $16.61 / $22.35
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.99 / $29.98 / $43.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.96 / $58.31 / $158.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.67 / $21.32 / $65.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.10 / $34.90 / $86.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.63 / $42.06 / $50.47
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.05 / $25.37 / $38.61
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7.27 / $11.37 / $26.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.82 / $36.82 / $64.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.58 / $16.25 / $22.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.67 / $21.61 / $29.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.62 / $108.08 / $174.90
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.40 / $46.52 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.88 / $354.38 / $366.08
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.32 / $98.61 / $126.75
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.44 / $180.44 / $180.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.72 / $42.51 / $74.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.64 / $55.03 / $117.34
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.23 / $21.00 / $48.31
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.75 / $34.90 / $77.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.58 / $111.58 / $111.58
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.23 / $53.23 / $53.23
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.35 / $58.35 / $58.35
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.26 / $46.76 / $46.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.55 / $44.55 / $44.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $36.10 / $84.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.42 / $15.52 / $41.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.23 / $20.10 / $45.42