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Wisconsin rates for HCPCS 92284

Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.44 / $42.44 / $42.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.32 / $52.16 / $83.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.94 / $88.42 / $172.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.55 / $159.55 / $193.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.11 / $59.85 / $91.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $49.65 / $117.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.97 / $49.65 / $115.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.08 / $79.22 / $624.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $31.53 / $71.18
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $50.93 / $119.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.67 / $71.78 / $103.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.07 / $286.50 / $624.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.56 / $130.63 / $130.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $74.62 / $143.25