Extended visual field test (Goldmann, unscheduled)

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR EXAM VISUAL FIELD EXTENDED

Payers reporting CPT 92083

Payer pricing summary

Low

$54

Average

$176

Median

$157

High

$603

Payer rate distribution

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#
1	Medica professional · fee schedule · outpatient · +19 other terms	16	$47	$47	$19	41%	345–381	$20 – $74
2	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	356	$191	$244	$177	72%	17–44	$1 – $937
3	Aetna fee schedule · outpatient · +31 other terms	418	$136	$250	$557	223%	1–10	$1 – $8.4k
4	UnitedHealthcare fee schedule · outpatient · +36 other terms	339	$129	$140	$172	123%	1–10	$1 – $3.8k
5	Cigna fee schedule · outpatient · +27 other terms	176	$137	$252	$118	47%	1–10	$27 – $688
6	Humana fee schedule · outpatient · +28 other terms	293	$131	$179	$493	275%	—	$1 – $8.3k
7	Molina fee schedule · outpatient · +26 other terms	139	$135	$137	$81	59%	—	$1 – $406
8	WellCare fee schedule · outpatient · +16 other terms	129	$130	$138	$52	38%	—	$8 – $302
9	Anthem fee schedule · outpatient · +26 other terms	95	$146	$115	$133	116%	—	$25 – $974
10	Devoted fee schedule · outpatient · +11 other terms	69	$135	$124	$31	25%	—	$37 – $149
11	Kaiser fee schedule · outpatient · +18 other terms	67	$193	$195	$160	82%	—	$22 – $913
12	Ambetter facility · fee schedule · outpatient · +16 other terms	66	$235	$331	$824	249%	—	$60 – $7.1k
13	Oscar fee schedule · outpatient · +18 other terms	51	$246	$172	$120	70%	—	$1 – $380
14	Optum fee schedule · outpatient · +18 other terms	48	$121	$135	$98	73%	—	$37 – $491
15	Caresource fee schedule · outpatient · +14 other terms	35	$159	$168	$41	25%	—	$1 – $227
16	Bcbs Tx fee schedule · outpatient · +2 other terms	27	$402	$368	$166	45%	—	$121 – $733
17	Clover fee schedule · outpatient · +10 other terms	26	$141	$138	$8	6%	—	$120 – $152
18	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$169	$168	$34	20%	—	$127 – $221
19	Medicare fee schedule · outpatient · +14 other terms	25	$37	$63	$45	72%	—	$31 – $148
20	Tricare fee schedule · outpatient · +14 other terms	24	$121	$113	$26	23%	—	$58 – $170
21	Medicaid fee schedule · outpatient · +13 other terms	21	$22	$28	$28	98%	—	$1 – $124
22	MultiPlan fee schedule · outpatient · +18 other terms	21	$205	$174	$52	30%	—	$36 – $205
23	Regence professional · fee schedule · outpatient · +13 other terms	21	$30	$34	$19	54%	—	$26 – $154
24	Superior Healthplan facility · fee schedule · outpatient · +5 other terms	21	$140	$138	$3	2%	—	$134 – $141
25	Aetna Better Health fee schedule · outpatient · +18 other terms	20	$49	$63	$32	51%	—	$32 – $121

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