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Pennsylvania rates for HCPCS 92083

Extended Visual Field Xm Uni/Bi I&R

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.22 / $70.69 / $174.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$81.93 / $81.93 / $81.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.42 / $26.09 / $39.70
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$25.80 / $29.80 / $39.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.66 / $35.90 / $62.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.85 / $63.99 / $105.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.40 / $38.40 / $38.40
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.62 / $78.31 / $209.60
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $82.22 / $158.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.36 / $30.21 / $62.05
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.96 / $48.88 / $96.16
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
$49.17 / $74.14 / $139.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.14 / $29.29 / $57.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.04 / $45.28 / $81.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $56.00 / $97.00
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.07 / $36.26 / $54.27
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.35 / $48.87 / $73.13
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.69 / $77.55 / $97.68
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.22 / $32.40 / $53.66
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$36.35 / $36.35 / $38.45
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.46 / $45.13 / $82.51
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.99 / $65.81 / $115.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.72 / $74.73 / $181.73
Martin's Point
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$81.93 / $81.93 / $81.93
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.75 / $27.43 / $50.81
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$25.45 / $30.13 / $40.25
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.78 / $37.93 / $66.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.70 / $75.70 / $75.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.84 / $70.84 / $70.84
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.14 / $30.14 / $30.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.15 / $73.81 / $143.62
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.83 / $29.84 / $58.17
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.04 / $44.53 / $84.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $59.92 / $79.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.10 / $26.10 / $35.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.08 / $59.92 / $71.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.59 / $26.10 / $27.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $33.82 / $44.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.79 / $65.58 / $114.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.02 / $27.52 / $49.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.76 / $38.90 / $66.20