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Utah 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
$20.89 / $25.70 / $52.48
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 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $30.90 / $52.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $26.30 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.20 / $5.25 / $23.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $32.36 / $42.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $40.74 / $52.48
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $30.90 / $38.90
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2.63 / $6.61 / $15.85
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $35.48 / $51.29
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $29.51 / $34.67
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.89 / $5.89 / $8.32
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $28.18 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $26.92 / $56.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $19.95 / $30.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.31 / $4.68 / $35.48