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Nebraska 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
$58.58 / $58.58 / $58.58
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.84 / $62.80 / $143.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.87 / $26.87 / $65.48
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$26.14 / $29.29 / $43.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.05 / $32.89 / $49.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.91 / $138.91 / $138.91
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.91 / $59.89 / $59.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.19 / $131.19 / $131.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $95.76 / $135.56
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.57 / $41.07 / $58.14
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.57 / $54.70 / $76.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.35 / $121.54 / $160.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.05 / $54.03 / $72.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.37 / $71.09 / $88.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.62 / $90.45 / $137.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.58 / $114.84 / $173.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.34 / $43.20 / $167.21
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.69 / $52.13 / $257.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.50 / $132.58 / $160.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.14 / $126.76 / $160.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.61 / $95.33 / $146.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.93 / $43.20 / $66.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.06 / $70.73 / $81.73