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New York 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
$113.29 / $113.29 / $113.29
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.00 / $48.00 / $48.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.38 / $66.36 / $107.33
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 / $26.26 / $52.25
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.89 / $31.01 / $46.46
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.66 / $37.76 / $63.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.21 / $57.21 / $57.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.65 / $58.91 / $163.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.73 / $23.66 / $56.41
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.91 / $35.25 / $92.99
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.26 / $38.26 / $50.51
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.26 / $50.51 / $88.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.84 / $70.84 / $70.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.14 / $30.14 / $30.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $86.78 / $236.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.51 / $32.74 / $88.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.89 / $52.52 / $131.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $56.00 / $95.64
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.74 / $36.26 / $69.19
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.35 / $48.87 / $103.46
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.70 / $58.70 / $58.70
Excellus BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.01 / $25.01 / $25.01
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $59.12 / $110.11
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.05 / $25.01 / $46.66
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.74 / $38.47 / $63.45
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.55 / $75.00 / $75.84
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$75.00 / $75.00 / $75.00
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.08 / $33.82 / $75.83
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.36 / $74.36 / $74.36
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$37.18 / $37.18 / $37.18
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.38 / $42.38 / $42.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.84 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.14 / $30.14 / $30.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $85.00 / $212.81
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.43 / $32.74 / $83.24
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.91 / $46.46 / $124.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.26 / $56.84 / $129.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.09 / $24.81 / $53.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.72 / $32.26 / $77.22
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.70 / $58.70 / $58.70
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.01 / $25.01 / $25.01
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $63.48 / $116.29
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.05 / $26.90 / $49.28
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.74 / $38.47 / $67.01