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Wyoming 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
$112.89 / $114.03 / $114.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.68 / $79.65 / $79.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.21 / $34.38 / $34.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $192.00 / $192.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.00 / $136.00 / $136.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.00 / $56.00 / $56.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $119.45 / $149.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.13 / $100.57 / $116.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.82 / $22.60 / $32.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.20 / $158.08 / $197.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.36 / $131.08 / $162.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.16 / $35.19 / $48.36