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Rhode Island 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
$87.45 / $99.48 / $141.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.59 / $76.08 / $109.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.87 / $23.40 / $32.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.60 / $125.60 / $181.28
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.41 / $90.59 / $90.59
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.51 / $24.51 / $35.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.07 / $159.15 / $218.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.81 / $112.16 / $161.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.80 / $46.99 / $62.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.32 / $104.18 / $154.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.12 / $84.10 / $114.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.02 / $27.41 / $40.13