go back

Maryland rates for HCPCS 92541

Spontaneous Nystagmus Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.15 / $25.01 / $127.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.97 / $20.55 / $53.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.07 / $4.50 / $44.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.09 / $30.78 / $57.96
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.23 / $24.82 / $27.25
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.83 / $5.15 / $35.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $31.74 / $65.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.61 / $22.94 / $40.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.35 / $5.75 / $35.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $28.52 / $55.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.29 / $23.26 / $41.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.25 / $5.25 / $10.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $37.61 / $57.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.23 / $18.36 / $32.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.62 / $6.81 / $33.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $27.16 / $36.86
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.61 / $22.15 / $30.46
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.32 / $5.00 / $6.39