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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $30.20 | $190.55 | |
Kaiser Permanente
| Professional | $26.92 | $32.36 | $45.71 | |
United
| Professional | $23.99 | $30.20 | $53.70 | |
Wellpoint
| Professional | $23.44 | $23.44 | $23.44 |