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New Hampshire 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 $13 · 10th–90th $12–$330%20%10th90th$13Professionalmedian $24 · 10th–90th $14–$500%5%10%10th90th$24$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $37.15 / $52.48
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $15.14 / $19.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $19.05 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $45.71 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $21.38 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $24.55 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $45.71 / $79.43
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $19.95 / $37.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $24.55 / $48.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $38.02 / $85.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $18.20 / $38.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $22.39 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $42.66 / $83.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $19.05 / $38.02
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $23.99 / $45.71
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $40.74
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.75 / $13.49 / $24.55
Well Sense
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $26.92