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Delaware 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
$26.21 / $30.73 / $36.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.44 / $14.57 / $17.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.77 / $16.20 / $19.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $50.19 / $53.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.73 / $18.09 / $22.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.71 / $26.82 / $33.21
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $33.76 / $34.74
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.41 / $15.41 / $15.41
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.37 / $17.37 / $17.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.53 / $35.64 / $76.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.27 / $13.43 / $36.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.15 / $17.57 / $39.04