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Indiana 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 / $27.88 / $31.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.82 / $56.77 / $75.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.84 / $405.91 / $716.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $39.31 / $42.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $28.91 / $40.27