​Longview Eye Associates
​Fees for Service
(2017)

Self Pay: Glasses Prescription (Not Using Insurance)
Eye Health Exam to screen for systemic/ocular disease and to measure for glasses prescription
New Patient Eye Exam                                $143.67
Established Patient Eye Exam                    $115.28
 
 Self Pay: Basic Contact Lens Exam (Not Using Insurance)
Eye Health Exam to screen for systemic/ocular disease and to measure for glasses and contact lens prescriptions; If specialty contact lenses are required, the fees may be higher.
New Contact Lens Exam                           $183.67
Established Contact Lens Patient             $155.28
 
Billed Amount to Insurance:                                                     
92004 NEW Comprehensive Eye Exam   $211.19                           
92014 EST Comprehensive Eye Exam     $175.20                         
92015 Refraction                                       $35.00                          
92002 NEW Intermediate Exam               $161.40                           
92012 EST Intermediate Exam                 $125.40
92310 Contact Lens Fitting Exam             $40.00-$110.00 
Low Vision Refraction                                 $66.00
                                               
Medical Testing/Procedures:                                                                                                                                            
92083 Visual Field                       $130.18
92132, 92133, 92134 OCT          $90.59
76514 Pachymetry                       $50.00                                                                                                            
92082 Screening Field (Lid)         $118.61
92025 Topography                       $161.40 
92283 Color Vision Test               $66.00
95930 VEP                                     $159.66
92275 ERG                                     $177.48
92250 Photography                      $124.20
Optomap Retinal Screening         $37.00
65222 Foreign Body Removal      $116.40
 
New Patient Office Visit (Problem Oriented Visit):                                                                      
Depending on Complexity of Diagnosis and Treatment Plan, this is in addition to any testing/procedures that may be deemed necessary at the visit
$75.40 -$289.20                                                                                                                                  
                       
 
Established Patient Office Visit (Problem Oriented Visit):                       
Depending on Complexity of Diagnosis and Treatment Plan, this is in addition to any testing/procedures that may be deemed necessary at the visit
$60.66 -$156.61
 
                                                                                                                                                                                                      Fees last updated 01/01/2017