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Iowa 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
$47.86 / $67.61 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $26.92 / $107.15
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $33.11 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $100.00 / $165.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $43.65 / $69.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $58.88 / $95.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $63.10 / $165.96
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $30.90 / $69.18
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $36.31 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $107.15 / $169.82
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $61.66 / $61.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $91.20 / $218.78
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $33.88 / $75.86
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $45.71 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $154.88 / $257.04
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $66.07 / $95.50
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $91.20 / $162.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $60.26 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $70.79 / $125.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $31.62 / $56.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $38.90 / $74.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $117.49 / $128.82
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $48.98 / $53.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $67.61 / $74.13