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Illinois 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
Facility
Modifier
Low / Median / High Price
$95.91 / $178.18 / $310.04
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.94 / $42.94 / $42.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $63.58 / $139.03
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$66.36 / $66.36 / $66.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.83 / $27.04 / $63.87
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$216.02 / $216.02 / $216.02
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.69 / $28.14 / $43.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.56 / $33.56 / $62.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.33 / $57.35 / $57.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.06 / $63.75 / $81.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.10 / $84.10 / $84.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.06 / $84.10 / $125.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.69 / $33.11 / $54.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.91 / $52.16 / $72.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.34 / $80.47 / $147.00
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.96 / $33.84 / $71.77
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.61 / $45.23 / $97.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $45.64 / $88.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.69 / $69.97 / $113.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.54 / $27.26 / $43.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.24 / $39.69 / $67.23