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Arizona rates for HCPCS 0378T

Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; review and interpretation with report by a physician or other qualified health care professional

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.84 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $31.62 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $37.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $33.88 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.11 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $30.20 / $45.71