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Ohio 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 / $106.06 / $174.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.81 / $78.58 / $120.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.69 / $28.89 / $45.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.97 / $96.97 / $135.76
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.29 / $78.42 / $99.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.53 / $94.86 / $168.34
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.66 / $77.56 / $221.59
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.31 / $21.22 / $58.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.68 / $92.68 / $128.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.49 / $116.43 / $197.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.55 / $89.11 / $155.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.30 / $29.53 / $54.05
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.49 / $120.59 / $238.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.55 / $89.11 / $184.32
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.30 / $29.53 / $54.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.81 / $105.08 / $173.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.31 / $93.25 / $168.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.41 / $72.95 / $135.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.85 / $23.36 / $41.30