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New Hampshire rates for HCPCS 92541

Spontaneous Nystagmus Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $34.21 / $53.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.35 / $20.65 / $29.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.32 / $5.17 / $31.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $27.92 / $49.35
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.05 / $23.08 / $39.42
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.21 / $4.96 / $8.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.29 / $37.54 / $81.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.14 / $27.34 / $56.32
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.61 / $6.90 / $47.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $32.27 / $78.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.51 / $25.56 / $65.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.46 / $5.36 / $12.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.76 / $34.36 / $75.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.52 / $24.13 / $41.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.58 / $5.84 / $44.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.78 / $37.50 / $60.62
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.23 / $19.63 / $26.29
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.43 / $4.80 / $34.09