go back

Missouri 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
$25.29 / $31.01 / $116.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.20 / $13.71 / $22.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.08 / $15.36 / $35.28
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
$36.49 / $47.00 / $84.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.62 / $20.00 / $36.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.35 / $27.00 / $49.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $41.67 / $99.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.36 / $19.55 / $38.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.29 / $21.27 / $61.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.17 / $39.76 / $76.22
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.40 / $36.40 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $40.86 / $354.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.45 / $18.01 / $98.32
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.82 / $23.46 / $180.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.63 / $36.61 / $63.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.97 / $17.02 / $30.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.89 / $19.82 / $33.84