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Washington 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
Professional
Modifier
Low / Median / High Price
$48.98 / $67.61 / $138.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $26.92 / $66.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $37.15 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $123.03 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $47.86 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $91.20 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $37.15 / $79.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $54.95 / $114.82
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $91.20 / $162.18
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.30 / $36.31 / $69.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $36.31 / $63.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.31 / $52.48 / $91.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $32.36 / $41.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $123.03 / $131.83
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $52.48 / $52.48
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $45.71 / $58.88
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $63.10 / $93.33
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.48 / $35.48 / $35.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $147.91 / $181.97
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $63.10 / $75.86
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $85.11 / $107.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $123.03 / $162.18
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $50.12 / $67.61
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $70.79 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $165.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $39.81 / $74.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.31 / $54.95 / $95.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $66.07 / $93.33
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $30.90 / $38.02
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $44.67 / $54.95