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Wisconsin rates for HCPCS 92541

Spontaneous Nystagmus Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.87 / $22.87 / $22.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $27.69 / $52.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.04 / $22.71 / $32.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.83 / $4.68 / $28.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.42 / $52.63 / $105.79
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.88 / $43.42 / $92.63
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.65 / $7.94 / $18.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.87 / $65.29 / $74.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $54.76 / $73.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.69 / $47.62 / $61.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.62 / $8.85 / $11.94
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.22 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.62 / $43.72 / $117.91
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.55 / $29.93 / $98.35
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.82 / $7.60 / $53.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $65.00 / $85.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $59.40 / $221.35
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.42 / $48.22 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $194.31 / $313.77
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.35 / $105.30 / $156.85
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5.15 / $114.24 / $220.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $129.18 / $129.18
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.09 / $47.92 / $62.04
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5.53 / $7.41 / $16.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.37 / $39.20 / $83.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.48 / $28.56 / $69.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3.68 / $5.98 / $16.32