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Montana rates for HCPCS 92083

Extended Visual Field Xm Uni/Bi I&R

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $88.33 / $115.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.56 / $34.85 / $79.37
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.00 / $41.31 / $44.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.18 / $52.82 / $91.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.54 / $41.54 / $99.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.30 / $54.30 / $99.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.54 / $41.54 / $41.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.76 / $89.54 / $100.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.02 / $37.39 / $41.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.72 / $50.46 / $58.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.01 / $65.04 / $103.55
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.54 / $41.54 / $41.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.52 / $89.30 / $116.25
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.90 / $37.39 / $41.68
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.57 / $50.46 / $58.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.66 / $105.02 / $126.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.88 / $44.46 / $49.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.00 / $59.00 / $78.58