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South Dakota 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)

Facilitymedian $76 · 10th–90th $44$1230%10%10th90th$76Professionalmedian $58 · 10th–90th $25$1580%10%10th90th$58$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $181.97
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $26.30 / $61.66
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $33.88 / $52.48
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $91.20 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $112.20 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $46.77 / $70.79
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $66.07 / $100.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $87.10 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $95.50 / $398.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $35.48 / $165.96
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $44.67 / $257.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $144.54 / $144.54
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $60.26 / $60.26
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $83.18 / $83.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $93.33 / $123.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $38.02 / $51.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $60.26 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $28.84 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $77.62 / $128.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $33.11 / $53.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $44.67 / $74.13
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $120.23
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $48.98 / $50.12
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $67.61 / $70.79