go back

Maine 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
$27.82 / $192.00 / $192.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.79 / $35.09 / $35.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.57 / $36.27 / $48.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $192.00 / $192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $36.27 / $56.44