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Idaho 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
$52.28 / $86.17 / $96.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.22 / $35.51 / $77.88
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$26.14 / $44.17 / $48.14
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.05 / $53.46 / $63.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.28 / $87.20 / $110.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.73 / $38.78 / $50.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.28 / $48.41 / $60.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $94.92 / $115.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.47 / $100.86 / $122.26
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.62 / $42.16 / $51.10
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.85 / $58.71 / $71.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $49.85 / $99.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.01 / $85.12 / $101.39
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.39 / $35.39 / $44.85
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.97 / $49.73 / $56.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.45 / $85.44 / $118.35
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.68 / $33.21 / $45.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.00 / $50.00 / $78.26