Extended visual field xm cost in Kansas

EXTENDED VISUAL FIELD XM · CPT 92083

Hospital City Cash price Negotiated range Payers
Ascension Via Christi Hospital Manhattan, Inc Manhattan not published $24.86 – $333.79 21
Wamego Health Center (Wamego Hospital Association) Wamego not published $24.86 – $111.71 9
Ascension Via Christi Rehabilitation Hospital, Inc. Wichita not published $77.15 – $333.79 14
Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) Wichita not published $119.21 – $333.79 16
Ascension Via Christi Hospital St. Teresa, Inc. Wichita not published $119.21 – $333.79 16