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Alaska rates for HCPCS 92541

Spontaneous Nystagmus Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $33.15 / $55.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.71 / $26.98 / $47.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.83 / $6.17 / $7.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $26.29 / $102.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.41 / $21.68 / $76.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.11 / $4.16 / $53.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $72.78 / $93.99
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.52 / $59.27 / $61.96
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.28 / $12.63 / $15.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $49.00 / $101.25
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.50 / $42.00 / $83.70
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.38 / $8.40 / $21.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.29 / $45.80 / $108.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.00 / $41.40 / $90.00
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.20 / $7.20 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $64.45 / $68.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.03 / $53.27 / $59.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5.50 / $9.36 / $30.44