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Maine rates for HCPCS 92082

Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshold screening program, Humphrey suprathreshold automatic diagnostic test, Octopus program 33)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.95 / $53.48 / $74.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.55 / $24.32 / $33.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.39 / $29.17 / $40.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.92 / $56.47 / $71.12
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.31 / $24.91 / $31.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.60 / $31.56 / $40.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.99 / $74.62 / $131.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.59 / $28.27 / $57.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.01 / $41.38 / $74.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $57.34 / $76.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.11 / $25.14 / $30.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.75 / $32.56 / $43.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.29 / $53.48 / $115.18
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.36 / $24.32 / $47.69
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.52 / $29.17 / $62.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $53.00 / $91.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.50 / $25.34 / $39.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.33 / $26.55 / $42.38