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Maine rates for HCPCS 92541

Spontaneous Nystagmus Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $26.53 / $40.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.79 / $20.03 / $22.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.32 / $4.34 / $24.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $26.40 / $38.10
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.31 / $22.31 / $31.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.84 / $4.84 / $6.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.29 / $32.86 / $68.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.68 / $26.61 / $45.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.61 / $6.00 / $20.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $30.92 / $41.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.43 / $25.56 / $34.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.07 / $5.36 / $7.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $26.53 / $40.93
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.79 / $21.69 / $22.19
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.32 / $4.34 / $24.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $29.72 / $54.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.77 / $23.71 / $42.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.12 / $4.15 / $8.69