Transparency and Pricing
Learn more about our pricing before your next visit.
For your convenience, we have pricing available for our most common services.
Guthrie Vision Source - Most Used CPT Codes
| Service | CPT | Fee ($) |
|---|---|---|
| Exam - New Comprehensive | 92004 | $200.00 |
| Comprehensive Exam - Established | 92014 | $170.00 |
| Intermediate Exam - New | 92002 | $115.00 |
| Intermediate Exam - Established | 92012 | $120.00 |
| Refraction | 92015 | $30.00 |
| Level 2, New | 99202 | $95.00 |
| Level 3, New | 99203 | $150.00 |
| Level 4, New | 99204 | $225.00 |
| Level 5, New | 99205 | $300.00 |
| Level 2, Established | 99212 | $75.00 |
| Level 3, Established | 99213 | $125.00 |
| Level 4, Established | 99214 | $175.00 |
| Level 5, Established | 99215 | $240.00 |
| Fundus Photos w/interpretation | 92250 | $50.00 |
| Photography, External/Gonio | 92285 | $35.00 |
| YAG Procedure | 66821 | $450.00 |
| Cataract Post Op Care | 66984 | $186.00 |
| Cataract + Drainage Post Op Care | 66991 | $196.00 |
| OCT - Optic Nerve | 92133 | $45.00 |
| OCT - Retina | 92134 | $55.00 |
| OCT | 92137 | $80.00 |
| Visual Field, Screening | 92081 | $65.00 |
| Visual Field, Intermediate | 92082 | $75.00 |
| Visual Field, Threshold | 92083 | $85.00 |
| Epilation | 67820 | $35.00 |
| Lacrimal Plug Insertion | 68761 | $200.00 |
| Pachymetry | 76514 | $18.00 |
| Gonioscopy | 92020 | $40.00 |
| Corneal Topography | 92025 | $48.00 |
| Color Vision Exam, Extended | 92283 | $70.00 |
| Schirmer Test | 95060 | $45.00 |
| Foreign Body Removal, External Lid | 65205 | $75.00 |
| Foreign Body Removal, Conjunctiva | 65210 | $95.00 |
| Foreign Body Removal, Cornea w/o SL | 65220 | $130.00 |
| Foreign Body Removal, Cornea w SL | 65222 | $150.00 |
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