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Illinois 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
$17.52 / $28.49 / $192.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $39.31 / $42.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.57 / $36.21 / $59.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.09 / $30.05 / $46.03