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Maine rates for HCPCS 92541

Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $39.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $20.89 / $25.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.02 / $3.98 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $33.11 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $27.54 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.37 / $5.75 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $36.31 / $69.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $26.30 / $46.77
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.57 / $6.03 / $33.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $32.36 / $61.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $25.12 / $50.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.55 / $5.37 / $9.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.12 / $66.07
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $20.89 / $23.99
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.00 / $3.98 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.90 / $51.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $25.12 / $39.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.31 / $4.68 / $8.32