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North Carolina rates for HCPCS 92540

Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral stimulation, with recording, and oscillating tracking test, with recording

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.37 / $108.56 / $173.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.91 / $76.81 / $108.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.69 / $29.76 / $37.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.86 / $114.97 / $173.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.19 / $137.19 / $137.19
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.41 / $85.69 / $197.37
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.95 / $28.18 / $53.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.92 / $86.92 / $86.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.95 / $141.49 / $267.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.81 / $114.21 / $200.48
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.62 / $35.96 / $68.84
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.13 / $89.59 / $144.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $99.00 / $126.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.92 / $99.68 / $167.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.80 / $98.64 / $192.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.65 / $77.23 / $145.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.21 / $22.20 / $43.52
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$136.99 / $177.91 / $379.86
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.18 / $855.00 / $855.00
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$487.97 / $607.73 / $607.73
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.27 / $247.28 / $247.28