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Wyoming 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
$64.00 / $69.34 / $90.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.56 / $28.20 / $110.68
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$31.79 / $32.00 / $32.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.63 / $36.79 / $36.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $114.00 / $114.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.00 / $47.00 / $47.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.00 / $67.00 / $67.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.06 / $84.33 / $94.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.05 / $33.82 / $41.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.77 / $47.51 / $60.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.08 / $103.24 / $152.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.73 / $43.68 / $56.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.00 / $58.00 / $105.56