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Washington 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
$27.21 / $46.66 / $75.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.71 / $18.02 / $25.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.77 / $25.82 / $51.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.94 / $98.62 / $171.87
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.84 / $36.40 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $82.52 / $354.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.60 / $39.17 / $130.50
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.56 / $41.15 / $180.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.71 / $59.61 / $103.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.90 / $25.95 / $47.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.39 / $31.61 / $62.41
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.15 / $53.95 / $106.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.68 / $24.18 / $43.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.47 / $52.98 / $96.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.64 / $24.18 / $41.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.85 / $29.32 / $52.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $51.08 / $93.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.70 / $64.31 / $79.80
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.01 / $31.10 / $32.15
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.43 / $27.36 / $34.29
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.00 / $32.00 / $54.52
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.94 / $43.94 / $43.94
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.84 / $20.84 / $20.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.43 / $78.16 / $90.71
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.42 / $37.01 / $42.80
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.01 / $41.05 / $48.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $65.05 / $82.48
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.25 / $30.57 / $39.01
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.56 / $34.47 / $43.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $54.04 / $94.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.40 / $24.38 / $45.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.86 / $27.94 / $49.39