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West Virginia 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
$22.15 / $31.12 / $40.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.36 / $15.25 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.66 / $15.57 / $20.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.27 / $18.50 / $36.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.17 / $19.28 / $38.11
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
$25.10 / $35.00 / $64.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.41 / $16.43 / $31.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.69 / $17.62 / $38.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.19 / $46.21 / $50.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $35.09 / $64.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.15 / $14.76 / $29.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.19 / $21.62 / $37.09