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South Dakota rates for HCPCS 92081

Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent)

Facilitymedian $41 · 10th–90th $26$780%10%10th90th$41Professionalmedian $25 · 10th–90th $13$490%5%10%10th90th$25$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.88 / $74.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $15.14 / $35.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.02 / $15.85 / $25.12
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $57.54 / $89.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $27.54 / $41.69
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $30.90 / $47.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $46.77 / $83.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $47.86 / $354.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $20.89 / $97.72
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $23.44 / $181.97
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $75.86 / $75.86
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $36.31 / $36.31
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $40.74 / $40.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $56.23 / $64.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $23.44 / $30.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $28.84 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $18.62 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $41.69 / $67.61
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $19.50 / $32.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $21.88 / $35.48
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $61.66 / $64.57
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $28.84 / $30.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $32.36 / $33.88