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Maryland 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
$52.48 / $70.79 / $229.09
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$81.28 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $28.18 / $79.43
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$51.29 / $70.79 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $34.67 / $61.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $57.54 / $69.18
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $25.70 / $28.18
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.02 / $46.77 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $77.62 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $29.51 / $46.77
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $46.77 / $70.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $109.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $28.84 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $43.65 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $66.07 / $120.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $24.55 / $45.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $40.74 / $70.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $67.61 / $107.15
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $28.84 / $41.69
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $43.65 / $64.57