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Louisiana 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 / $36.71 / $45.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.45 / $17.20 / $21.01
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.92 / $18.34 / $24.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.34 / $34.25 / $46.08
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.38 / $16.80 / $23.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.97 / $17.52 / $23.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.43 / $27.43 / $27.43
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.45 / $15.45 / $15.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.99 / $32.11 / $63.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.89 / $15.57 / $27.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.24 / $16.36 / $35.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.74 / $29.83 / $49.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.96 / $14.11 / $20.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.50 / $15.67 / $25.65