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Louisiana 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
$45.39 / $68.33 / $86.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.96 / $30.55 / $38.97
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$22.70 / $34.17 / $42.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.13 / $37.77 / $56.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.20 / $64.70 / $86.67
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.80 / $28.23 / $39.29
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.72 / $36.50 / $47.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.33 / $61.33 / $61.33
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $60.66 / $104.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.05 / $26.23 / $47.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.70 / $33.86 / $59.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.81 / $53.76 / $86.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.43 / $23.37 / $34.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.46 / $31.42 / $47.71