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Michigan 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
$22.71 / $28.49 / $192.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $35.78 / $42.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.94 / $33.02 / $48.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $35.90 / $52.02