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South Dakota 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
$21.88 / $25.70 / $33.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $20.89 / $25.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.02 / $3.98 / $5.01
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.01 / $23.44 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $41.69 / $60.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $35.48 / $50.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.55 / $6.76 / $9.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $43.65 / $316.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $33.88 / $158.49
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.39 / $6.17 / $218.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $53.70 / $53.70
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $47.86 / $47.86
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.31 / $6.31 / $6.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $40.74 / $72.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $30.90 / $39.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.80 / $6.17 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.90 / $52.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.78 / $23.99 / $44.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.63 / $5.01 / $8.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $42.66 / $44.67
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $35.48 / $36.31
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5.89 / $7.41 / $7.76