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Massachusetts 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
$27.75 / $36.70 / $61.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.37 / $15.63 / $24.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.38 / $19.53 / $40.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.40 / $38.10 / $57.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.07 / $17.07 / $17.07
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.15 / $51.21 / $366.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.66 / $22.58 / $98.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.25 / $28.88 / $180.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.75 / $41.37 / $58.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.16 / $50.80 / $102.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.55 / $20.70 / $45.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.62 / $30.32 / $63.19
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.62 / $18.10 / $33.72
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $22.93 / $47.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $45.44 / $90.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.51 / $23.20 / $42.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.11 / $28.14 / $48.20
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.98 / $53.73 / $103.67
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.73 / $51.83 / $366.08
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.78 / $22.19 / $98.61
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.95 / $27.27 / $180.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.05 / $46.85 / $84.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.62 / $20.50 / $37.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.43 / $25.34 / $44.31