Longview Eye Associates
Fees for Service
(2017)
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 Starts at $75.00+ **Depending on skill level required to fit
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
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 Starts at $75.00+ **Depending on skill level required to fit
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