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Pennsylvania rates for HCPCS 92081

Limited Visual Field Xm Uni/Bi I&R

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.44 / $35.82 / $55.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.52 / $15.42 / $19.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.18 / $17.23 / $34.75
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $33.76 / $81.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.69 / $16.28 / $38.57
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.84 / $17.48 / $40.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $37.28 / $37.28
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.95 / $17.95 / $17.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.15 / $43.47 / $86.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.58 / $18.09 / $34.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.51 / $22.83 / $48.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.83 / $45.02 / $67.38
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.91 / $21.53 / $32.22
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.91 / $23.49 / $35.15
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $40.75 / $51.42
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.02 / $19.02 / $19.02
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.45 / $21.45 / $21.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $37.89 / $88.67
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.52 / $15.67 / $26.76
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.18 / $18.13 / $37.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.09 / $70.09 / $70.09
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $37.28 / $37.28
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.95 / $17.95 / $17.95
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.09 / $41.43 / $81.41
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.55 / $18.23 / $36.56
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.51 / $22.35 / $47.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $31.96 / $77.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.53 / $15.53 / $19.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $31.96 / $77.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.20 / $15.53 / $19.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.12 / $16.43 / $58.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.71 / $38.36 / $61.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.39 / $16.82 / $27.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.08 / $19.16 / $35.40