go back

California rates for HCPCS 92541

Spontaneous Nystagmus Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.19 / $40.54 / $66.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.44 / $21.25 / $32.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.90 / $7.29 / $31.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $54.04 / $110.79
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.03 / $24.37 / $69.91
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.58 / $30.76 / $62.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.83 / $59.75 / $80.94
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.47 / $23.53 / $31.88
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.36 / $36.22 / $48.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.12 / $49.19 / $120.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.66 / $27.40 / $84.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.75 / $10.28 / $52.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $18.48 / $32.46
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.59 / $7.39 / $26.25
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5.65 / $8.74 / $13.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $26.56 / $47.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.27 / $21.47 / $29.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.20 / $5.09 / $6.98
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.22 / $100.00 / $103.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.88 / $313.77 / $322.37
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$156.85 / $156.85 / $166.80
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.09 / $220.13 / $226.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.19 / $44.40 / $98.32
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.97 / $26.91 / $61.87
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.75 / $9.57 / $52.27
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.43 / $83.43 / $83.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.56 / $69.56 / $69.56
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.87 / $13.87 / $13.87
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.84 / $32.79 / $32.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $29.51 / $69.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.20 / $20.03 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.06 / $5.03 / $31.97