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Montana 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)

Facilitymedian $58 · 10th–90th $34–$790%50%10th90th$58Professionalmedian $25 · 10th–90th $13–$510%5%10%10th90th$25$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $41.69 / $74.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $19.05 / $35.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.96 / $19.05 / $25.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $52.48
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $47.86 / $53.70
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $22.39 / $25.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $25.12 / $28.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $79.43
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $79.43
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $38.02 / $77.62
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $46.77 / $53.70
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $22.39 / $25.70
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $24.55 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $54.95 / $81.28
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $26.92 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $28.84 / $50.12