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Washington rates for HCPCS 92083

Extended Visual Field Xm Uni/Bi I&R

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.89 / $88.33 / $133.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.66 / $31.59 / $42.82
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.89 / $41.31 / $55.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.65 / $52.82 / $91.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.89 / $84.90 / $132.24
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.15 / $52.15 / $52.15
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.35 / $220.95 / $286.08
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.33 / $61.29 / $152.15
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.01 / $155.03 / $542.92
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.39 / $65.84 / $218.55
Asuris Northwest Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$30.23 / $30.23 / $30.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.97 / $89.18 / $324.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $105.11 / $194.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.73 / $43.49 / $79.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.44 / $61.56 / $115.93
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.04 / $98.73 / $180.57
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.04 / $38.49 / $69.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.62 / $98.45 / $167.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.88 / $39.47 / $68.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.47 / $57.89 / $101.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $62.91 / $149.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.44 / $121.27 / $131.65
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.69 / $52.43 / $53.04
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.97 / $40.50 / $57.67
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.06 / $61.05 / $80.91
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.35 / $83.35 / $83.35
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.33 / $35.33 / $35.33
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.63 / $147.06 / $172.35
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.04 / $62.20 / $71.95
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.59 / $84.70 / $100.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.01 / $123.15 / $156.71
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.04 / $51.39 / $65.56
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.97 / $70.84 / $91.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $99.68 / $175.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.16 / $40.56 / $76.27
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.69 / $58.00 / $99.00