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Arkansas rates for HCPCS 92083

Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30 degrees or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $63.58 / $92.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.77 / $28.10 / $45.60
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$21.11 / $31.79 / $47.57
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.36 / $35.47 / $52.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $73.73 / $73.73
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.16 / $41.16 / $41.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.22 / $110.22 / $110.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.15 / $82.26 / $91.40
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.49 / $37.71 / $41.90
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.65 / $44.55 / $49.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.68 / $32.65 / $57.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.41 / $31.22 / $57.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.44 / $86.74 / $105.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.99 / $33.25 / $51.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.04 / $43.22 / $70.48
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.80 / $84.80 / $84.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.90 / $62.31 / $112.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.16 / $26.60 / $41.77
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.92 / $34.29 / $60.49